PARK AVENUE MEDICAL OFFICE, PLLC is an allergy and immunology internal medicine in New York, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. PARK AVENUE MEDICAL OFFICE, PLLC NPI is 1013568435. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
642 PARK AVE
NEW YORK, NY
ZIP 10065-105
Phone: (212) 517-6611
Fax: (212) 517-2132
The provider's authorized official is Wellington S Tichenor .
The authorized official title is Owner and has the following contact phone number (212) 517-6611.
The CLIA number assigned to this NPI record is 33D2178880 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 9/26/2019 and was last updated on 9/26/2019.