PARK AVENUE MEDICAL OFFICE, PLLC

NEW YORK, NY
NPI1013568435
Entity TypeOrganization
Authorized ContactWELLINGTON S TICHENOR
Owner
212-517-6611
Organization Subpart ?No
Primary Taxonomy207RA0201X Internal Medicine, Allergy & Immunology
Enumeration Date2019-09-26
Last Update Date2019-09-26
Business Address
PARK AVENUE MEDICAL OFFICE, PLLC
642 PARK AVE
NEW YORK, NY 10065-6105
Phone number: 212-517-6611
Mailing Address
PARK AVENUE MEDICAL OFFICE, PLLC
642 PARK AVE
NEW YORK, NY 10065-6105
Phone number: 212-517-6611
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