Healthcare Provider Details

I. General information

NPI: 1053374553
Provider Name (Legal Business Name): PARK WEST WOMEN'S HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 RED CREEK DR STE 100
ROCHESTER NY
14623-4283
US

IV. Provider business mailing address

300 RED CREEK DR STE 100
ROCHESTER NY
14623-4283
US

V. Phone/Fax

Practice location:
  • Phone: 585-473-2846
  • Fax: 585-473-3098
Mailing address:
  • Phone: 585-473-2846
  • Fax: 585-473-3098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM J HARVEY
Title or Position: PARTNER
Credential: M.D.
Phone: 585-473-2846