institution
Park 62 Perio & Perio-prosthesis Pc
Specialist in New York, New York
NPI 1740737758

Park 62 Perio & Perio-prosthesis Pc is a Specialist based in New York, NY. Park 62 Perio & Perio-prosthesis Pc practices in New York, NY. The NPI Number for Park 62 Perio & Perio-prosthesis Pc is 1740737758 and holds a License No. 440777 (New York).

The current practice location address for Park 62 Perio & Perio-prosthesis Pc 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, 10065-7379
institution
Provider Profile Details
NPI Number
1740737758
Provider Name
Park 62 Perio & Perio-prosthesis Pc
Credential
Provider Entity Type
Organization
Address
563 Park Ave, New York, NY, 10065-7379
Phone Number
212-838-0090
Fax Number
Provider Enumeration Date
09/07/2016
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
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
440777 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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