Organization
WEST SIDE RADIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUNIR GHESANI M.D (MEDICAL DIRECTOR)
(212) 523-7049
Entity
Organization
Contact information
Practice address
245 5TH AVE, NEW YORK, NY 10016-8728
(646) 935-2841
(646) 935-2891
Mailing address
10 EXCHANGE PL, 14TH FLOOR, JERSEY CITY, NJ 07302-3918
(201) 830-3200
(201) 200-0838
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03461947
—
NY
Enumeration date
04/03/2012
Last updated
03/06/2013
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