West Midtown Medical Group

NPI #1003409368 in New York, New York

Provider Information

NPI Number: 1003409368
Entity Type: Organization
Organization Name: West Midtown Medical Group
Primary Specialty: Clinic/Center - Methadone
Enumeration Date: Feb 18, 2021
Last Updated: Aug 12, 2021

Practice Location

Address: 311 W 35TH ST
City: New York
State: New York
ZIP Code: 10001-1701
Phone: (212) 736-5900

Authorized Official

Name: ABIGAIL RODRIGUEZ
Title: CLINICAL DIRECTOR
Phone: (212) 736-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Methadone — Methadone	261QM2800X	Primary

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