PARK AVENUE AESTHETIC SURGERY PC NPI 1669818324

NPI Information

PARK AVENUE AESTHETIC SURGERY, PC is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PARK AVENUE AESTHETIC SURGERY, PC NPI is 1669818324. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

461 PARK AVE S FL 7
NEW YORK, NY
ZIP 10016-822
Phone: (212) 206-6465
Fax: (212) 255-2132

The provider's authorized official is Matt Dallmann .
The authorized official title is Billing Manager and has the following contact phone number (212) 206-6465.

The enumeration date for this NPI number is 5/21/2013 and was last updated on 5/21/2013.

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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