PARK AVENUE MAXILLARY & MANDIBULAR RESTORATION PC is an ambulatory surgical clinic center in New York, NY. PARK AVENUE MAXILLARY & MANDIBULAR RESTORATION PC NPI is 1457656381. The provider is registered as an organization entity type.
The provider's business location address is:
563 PARK AVE
NEW YORK, NY
ZIP 10065-379
Phone: (212) 838-0090
Fax: (212) 935-1296
The provider's authorized official is Patricia Ponce .
The authorized official title is Office Supervisor and has the following contact phone number (212) 838-0090.
The enumeration date for this NPI number is 1/25/2011 and was last updated on 1/25/2011.