Organization · Type 2 NPI

Park Avenue Maxillary & Mandibular Restoration PC

Ambulatory Surgical Clinic/Center · New York, NY

NPI number 1457656381 Active

Practice location

563 Park Ave
New York, NY 10065-7379

Fax (212) 935-1296

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X0386071 (NY)

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

20 other providers at this address

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About NPI 1457656381

Park Avenue Maxillary & Mandibular Restoration PC's National Provider Identifier is 1457656381, issued on Jan 25, 2011. 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 Jan 25, 2011.