# ST. LUKE'S ROOSEVELT HOSPITAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Care Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962569921
- **Authorized official:** DR. MARK GRAY M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 308-1112

## Contact information

- **Practice address:** 200 W 57TH ST, SUITE 1001, NEW YORK, NY 10019-3211
- **Practice address phone:** (212) 663-6604
- **Practice address fax:** (212) 663-7259
- **Mailing address:** PO BOX 95000-2388, PHILADELPHIA, PA 19195-2388
- **Mailing address phone:** (212) 308-1112
- **Mailing address fax:** (212) 308-1616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 10/29/2014