Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Upper West Side Medical Doctor PLLC

Organization Clinic/Center · NPI 1912417254

Upper West Side Medical Doctor PLLC is a Clinic/Center in New York, New York. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

46 W 86th St Ste 1A
New York, NY 10024-3633
Phone: (908) 962-1000
Fax: (908) 962-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1912417254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bhavana Kranthi — Owner · (732) 429-6513
NPI enumeratedSeptember 30, 2017
Last updated in NPPESDecember 5, 2017
Mailing address46 W 86th St, New York, NY 10024-3633

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