Organization
UPPER WEST SIDE MEDICAL P.L.L.C.
Active
Other names
Upper West Eye
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL A CASTILLO M.D. (PHYSICIAN)
(646) 267-2300
Entity
Organization
Contact information
Practice address
125 W 79TH ST, NEW YORK, NY 10024-6454
(212) 785-1059
(212) 269-2901
Mailing address
PO BOX 3234, CHURCH STREET STATION, NEW YORK, NY 10008-3234
(212) 785-1059
(212) 269-2901
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
232065-1
NY
208600000X
Surgery Physician
257247
NY
Other
Enumeration date
08/30/2011
Last updated
10/12/2015
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