| NPI | 1417155565 |
|---|---|
| Doing Business As | PARK AVENUE PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT BRIAN WELLS Director 212-794-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |