Organization
WEST SIDE RADIOLOGY ASSOCIATES, PC
Active
Organization
WEST SIDE RADIOLOGY ASSOCIATES, PC
Active
Parent organization
WEST SIDE RADIOLOGY ASSOCIATES, PC
Other names
Central Park Women's Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SIDE RADIOLOGY ASSOCIATES, PC
Authorized official
JAY LEE MD (PRESIDENT)
(201) 830-3122
Entity
Organization
Contact information
Practice address
1790 BROADWAY, 9TH FLOOR, NEW YORK, NY 10019-1412
(212) 590-5500
(212) 590-5510
Mailing address
10 EXCHANGE PL, WSBS-14TH FLOOR, JERSEY CITY, NJ 07302-3918
(201) 830-3122
(201) 200-0838
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00418960
—
NY
Enumeration date
01/08/2007
Last updated
03/06/2013
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