| NPI | 1124725312 |
|---|---|
| Doing Business As | PARK AVENUE SURGERY |
| Entity Type | Organization |
| Authorized Contact | SHANALEE ACKERMAN COO 212-433-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |