PARK AVE RECONSTRUCTIVE LLC NPI 1679968499

NPI Information

NPI: 1679968499
Provider Name: PARK AVE RECONSTRUCTIVE LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
461 PARK AVE SOUTH STE 7A
NEW YORK, NY
ZIP 10016
Phone: (212) 481-3939
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PARK AVE RECONSTRUCTIVE LLC is an ambulatory surgical clinic center in New York, NY. PARK AVE RECONSTRUCTIVE LLC NPI is 1679968499. The provider is registered as an organization entity type.

The provider's business location address is:

461 PARK AVE SOUTH STE 7A
NEW YORK, NY
ZIP 10016-403
Phone: (212) 481-3939
Fax: (212) 688-6602

The provider's authorized official is Douglas Senderoff .
The authorized official title is President and has the following contact phone number (212) 481-3939.

The enumeration date for this NPI number is 3/30/2015 and was last updated on 3/30/2015.

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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