institution
Park 62 Oral Facial Surgery P.c.
Ambulatory Surgical Clinic/Center in New York, New York
NPI 1518493717

Park 62 Oral Facial Surgery P.c. is an Ambulatory Surgical Clinic/Center based in New York, NY and is specialized in Ambulatory Surgical. Park 62 Oral Facial Surgery P.c. practices in New York, NY. The NPI Number for Park 62 Oral Facial Surgery P.c. is 1518493717 and holds a License No. 440777 (New York).

The current practice location address for Park 62 Oral Facial Surgery P.c. is 563 Park Ave, New York, NY and can be reached out via phone at 212-838-0090.

Location: 563 Park Ave, New York, NY, 10065
institution
Provider Profile Details
NPI Number
1518493717
Provider Name
Park 62 Oral Facial Surgery P.c.
Credential
Provider Entity Type
Organization
Address
563 Park Ave, New York, NY, 10065
Phone Number
212-838-0090
Fax Number
Provider Enumeration Date
05/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
440777 01 NY THE JOINT COMMISSION
institution
Provider Business Practice Location Address Details
Address
563 Park Ave
City
State
Zip
10065-7379
Phone Number
212-838-0090
Fax Number
person
Provider Business Mailing Address Details
Address
563 Park Ave
City
State
Zip
10065-7379
Phone Number
212-838-0090
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
440777 (New York)
Definition
Definition to come...
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