PARK AVENUE MEDICAL FAMILY PRACTICE & GERIATRICS PC NPI 1912179110

NPI Information

PARK AVENUE MEDICAL FAMILY PRACTICE & GERIATRICS, PC is a primary care clinic center in Yonkers, NY. PARK AVENUE MEDICAL FAMILY PRACTICE & GERIATRICS, PC NPI is 1912179110. The provider is registered as an organization entity type.

The provider's business location address is:

102 PARK AVE
YONKERS, NY
ZIP 10703-934
Phone: (914) 965-4300
Fax: (914) 965-7625

The provider's authorized official is Aaron Felder .
The authorized official title is Office Manager and has the following contact phone number (914) 965-4300.

The CLIA number assigned to this NPI record is 33D0929483 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 9/6/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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