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Organization

WEST SIDE RADIOLOGY ASSOCIATES, P.C.

Active
Parent organization
WEST SIDE RADIOLOGY ASSOCIATES, P.C.
Other names
St Luke's-Roosevelt Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST SIDE RADIOLOGY ASSOCIATES, P.C.
Authorized official
JAY LEE MD (PRESIDENT)
(201) 830-3122
Entity
Organization

Contact information

Practice address
1000 10TH AVE, DEPT OF RADIOLOGY, NEW YORK, NY 10019-1147
(212) 590-2930
Mailing address
PO BOX 10268, UNIONDALE, NY 11555-0268
(201) 830-3122
(201) 200-0838

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2085P0229X
Pediatric Radiology Physician
2085R0202X
Diagnostic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
2085R0205X
Radiological Physics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00418960
NY
Enumeration date
01/05/2007
Last updated
12/28/2007
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