Organization · Type 2 NPI
Park Ave Reconstructive LLC
Ambulatory Surgical Clinic/Center · New York, NY
NPI number
1679968499
Active
Practice location
461 Park Ave South Ste 7A
New York, NY 10016-8403
Fax (212) 688-6602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1679968499
Park Ave Reconstructive LLC's National Provider Identifier is 1679968499, issued on Mar 30, 2015. 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 Mar 30, 2015.