PARK AVE AMBULATORY MEDICAL FACILITY NPI 1205094562

NPI Information

NPI: 1205094562
Provider Name: PARK AVE AMBULATORY MEDICAL FACILITY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
360 COURT ST
SUITE# 3
BROOKLYN, NY
ZIP 11231
Phone: (718) 422-5023
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PARK AVE AMBULATORY MEDICAL FACILITY is an ambulatory surgical clinic center in Brooklyn, NY. PARK AVE AMBULATORY MEDICAL FACILITY NPI is 1205094562. The provider is registered as an organization entity type.

The provider's business location address is:

360 COURT ST
SUITE# 3
BROOKLYN, NY
ZIP 11231-353
Phone: (718) 422-5023
Fax: (718) 422-5025

The provider's authorized official is Vadim Kushnerik .
The authorized official title is Surgical Director and has the following contact phone number (718) 422-5023.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 5/22/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	217486	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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