OrganizationWestside Pediatric AssosoatesPediatricsAllopathic & Osteopathic PhysiciansPractice Address1000 10th Ave, New York, NY 10019-1147(212) 523-8306(212) 523-8050PECOS EnrollmentBased on the most recent information from CMS, provider Westside Pediatric Assosoates does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1861527731Provider TypeOrganizationFull NameWestside Pediatric AssosoatesSubpartNoEnumeration Date2/22/2007Last Updated7/21/2022Contact InformationPractice LocationPractice Address1000 10th Ave, New York, NY 10019-1147Phone(212) 523-8306Fax(232) 523-8307Mailing LocationMailing Address1111 Amsterdam Ave, New York, NY 10025-1716Phone(212) 523-8050Fax(212) 523-8055Authorized OfficialNameShahrivar, Farroukh (Acting Chaiman, Pediatric Services)Phone(212) 523-3760Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerNew YorkCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer