PARK AVENUE MEDICAL CARE PC NPI 1154554806

NPI Information

PARK AVENUE MEDICAL CARE PC is a general practice in New York, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PARK AVENUE MEDICAL CARE PC NPI is 1154554806. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1767 PARK AVE
FL 2
NEW YORK, NY
ZIP 10035-929
Phone: (347) 462-4270

The provider's authorized official is Eva Gateva .
The authorized official title is President and has the following contact phone number (347) 462-4270.

The CLIA number assigned to this NPI record is 33D2096892 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2009 and was last updated on 8/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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