MEDICARE: MANHATTAN WEST SIDE MEDICAL SERVICE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number	:	1669006946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANHATTAN WEST SIDE MEDICAL SERVICE PLLC

Provider Business Mailing Address
First Line	:	300 FORT WASHINGTON AVE OFC 1
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1323
Country	:	US
Telephone Number	:	212-316-3276
Fax Number	:	212-568-3688

Provider Business Practice Location Address
First Line	:	300 FORT WASHINGTON AVE OFC 1
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1323
Country	:	US
Telephone Number	:	212-316-3276
Fax Number	:	212-568-3688

Authorized Official
Title or Position	:	MD
Name	:	RICARDO E POU
Credential	:	MD
Telephone Number	:	212-316-3276

Provider Enumeration Date	:	02/26/2020
Last Update Date	:	03/12/2020

Similar Medicare Providers

1629045257 — PAOLI MEDICAL EYECARE,P.C.
Practice Location Address:

300 FORT WASHINGTON AVE
NEW YORK, NY
10032-1323

Practice Phone: 212-928-1498
Practice Fax: 212-928-1670

1396847976 — DR. RICARDO E POU M.D.
Practice Location Address:

300 FORT WASHINGTON AVE OFC 1
NEW YORK, NY
10032-1323

Practice Phone: 212-316-3276
Practice Fax: 212-568-3688

1720153604 — DR. BERNARDO KRASELNIK M.D.
Practice Location Address:

300 FORT WASHINGTON AVE
NEW YORK, NY
10032-1323

Practice Phone: 212-781-5900
Practice Fax: 212-927-8601

1104008325 — DR. GLORIA PAOLI
Practice Location Address:

300 FORT WASHINGTON AVE
NEW YORK, NY
10032-1323

Practice Phone: 212-928-1498
Practice Fax: 212-928-1670

1689983215 — MANHATTAN WEST SIDE MEDICAL SERVICES PLLC
Practice Location Address:

300 FT WASHINGTN AVE STE 1S
NEW YORK, NY
10032-1323

Practice Phone: 212-316-3276
Practice Fax:

1760807390 — MONICA PIERCE L.AC.
Practice Location Address:

47 E 19TH ST , 2ND FLOOR
NEW YORK, NY
10003-1323

Practice Phone: 347-693-2766
Practice Fax:

Directions to “MANHATTAN WEST SIDE MEDICAL SERVICE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.