Organization
PARK WEST MEDICAL ASSOCIATE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBUNIKE O. EDOKWE M.D. (OWNER)
(917) 940-2386
Entity
Organization
Contact information
Practice address
15 W 84TH ST, 1J, NEW YORK, NY 10024-4703
(212) 362-3020
(212) 362-3020
Mailing address
15 W 84TH ST, 1J, NEW YORK, NY 10024-4703
(212) 362-3020
(212) 362-3020
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
180533
NY
Other
Enumeration date
10/30/2009
Last updated
02/18/2016
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