# WEST MIDTOWN MEDICAL GROUP

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

## Provider details

- **NPI number:** 1952559874
- **Authorized official:** MR. DANIEL O PANIAGUA PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (212) 736-5900

## Contact information

- **Practice address:** 311 W 35TH ST, NEW YORK, NY 10001-1701
- **Practice address phone:** (212) 736-5900
- **Practice address fax:** (212) 643-1441
- **Mailing address:** 4011 165TH ST, FLUSHING, NY 11358-2621
- **Mailing address phone:** (917) 531-5896
- **Mailing address fax:** (212) 643-1441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 006339 | NY | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 09/04/2008