620 PARK AVENUE OBS NPI 1508086570

NPI Information

NPI: 1508086570
Provider Name: 620 PARK AVENUE OBS
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
620 PARK AVENUE
NEW YORK, NY
ZIP 10021
Phone: (212) 570-6318
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620 PARK AVENUE OBS is an ambulatory surgical clinic center in New York, NY. 620 PARK AVENUE OBS NPI is 1508086570. The provider is registered as an organization entity type.

The provider's business location address is:

620 PARK AVENUE
NEW YORK, NY
ZIP 10021-001
Phone: (212) 570-6318
Fax: (212) 988-4623

The provider's authorized official is Carroll Lesesne .
The authorized official title is President and has the following contact phone number (212) 570-6318.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 10/3/2007.

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			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: 4/28/2024

NPI Synchronization or Removal

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