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Organization
WESTSIDE PEDIATRIC ASSOSOATES
Active
Organization
WESTSIDE PEDIATRIC ASSOSOATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARROUKH SHAHRIVAR (ACTING CHAIMAN, PEDIATRIC SERVICES)
(212) 523-3760
Entity
Organization
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-8306
(232) 523-8307
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-8050
(212) 523-8055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NY
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/22/2007
Last updated
07/21/2022
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