Organization · Type 2 NPI

Park Avenue Maxillary & Mandibular Restorations PC

Ambulatory Surgical Clinic/Center · New York, NY

NPI number 1235532870 Active

Practice location

563 Park Ave
New York, NY 10065-7379

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X440777 (NY)

Ambulatory Surgical Clinic/Center: Definition to come...

20 other providers at this address

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About NPI 1235532870

Park Avenue Maxillary & Mandibular Restorations PC's National Provider Identifier is 1235532870, issued on Sep 26, 2014. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in New York, NY. The record was last updated on Sep 26, 2014.