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Organization

WESTSIDE MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PHILIPP PIFKO (BILLING MANAGER)
(718) 934-9720
Entity
Organization

Contact information

Practice address
137 W 96TH ST, NEW YORK, NY 10025-6403
(212) 749-7400
(718) 616-0544
Mailing address
2610 E 18TH ST, SUITE 1, BROOKLYN, NY 11235-3622
(718) 934-9720
(718) 616-0544

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
05/22/2007
Last updated
09/11/2025
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