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Organization

WEST SIDE RADIOLOGY ASSOCIATES, P.C.

Active
Parent organization
WEST SIDE RADIOLOGY ASSOCIATES, P.C.
Other names
Morningside Medical Pavilion
Organization subpart
Yes

Provider details

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

Contact information

Practice address
1090 AMSTERDAM AVE, NEW YORK, NY 10025
(212) 590-2900
(212) 523-4857
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
2085N0904X
Nuclear Radiology Physician
2085P0229X
Pediatric Radiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0205X
Radiological Physics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00418960
NY
Enumeration date
05/11/2007
Last updated
03/06/2013
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