institution
Park Avenue Perio-prosthesis Pc
Ambulatory Surgical Clinic/Center in New York, New York
NPI 1568895464

Park Avenue Perio-prosthesis Pc is an Ambulatory Surgical Clinic/Center based in New York, NY and is specialized in Ambulatory Surgical. Park Avenue Perio-prosthesis Pc practices in New York, NY. The NPI Number for Park Avenue Perio-prosthesis Pc is 1568895464 and holds a License No. #440777 (New York).

The current practice location address for Park Avenue Perio-prosthesis Pc is 563 Park Ave, New York, NY and can be reached out via phone at 212-838-0383.

Location: 563 Park Ave, New York, NY, 10065-7379
institution
Provider Profile Details
NPI Number
1568895464
Provider Name
Park Avenue Perio-prosthesis Pc
Credential
Provider Entity Type
Organization
Address
563 Park Ave, New York, NY, 10065-7379
Phone Number
212-838-0383
Fax Number
Provider Enumeration Date
08/14/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ID# 440777 01 NY THE JOINT COMMISSION
institution
Provider Business Practice Location Address Details
Address
563 Park Ave
City
State
Zip
10065-7379
Phone Number
212-838-0383
Fax Number
person
Provider Business Mailing Address Details
Address
563 Park Ave
City
State
Zip
10065-7379
Phone Number
212-838-0383
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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