NPI | 1124725312 |
---|---|
Doing Business As | PARK AVENUE SURGERY |
Entity Type | Organization |
Authorized Contact | JONATHAN GLASHOW Owner 212-794-5096 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2023-02-08 |
Last Update Date | 2025-01-23 |