# WEST SIDE GI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588938682
- **Authorized official:** CHRISTINE FRASCO (DIRECTOR, HUMAN RESOURCES)
- **Authorized official phone:** (212) 889-3142

## Contact information

- **Practice address:** 619 W 54TH ST, 8TH FLOOR, NEW YORK, NY 10019-3545
- **Practice address phone:** (212) 874-3384
- **Practice address fax:** (646) 873-6600
- **Mailing address:** 619 W 54TH ST, 8TH FLOOR, NEW YORK, NY 10019-3545
- **Mailing address phone:** (212) 874-3384
- **Mailing address fax:** (646) 873-6600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 192097 | NY | Yes |

## Other

- **Enumeration date:** 03/07/2012
- **Last updated:** 01/07/2020
