# 737 PARK AVENUE SURGICAL SUITES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Avenue Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124725312
- **Authorized official:** JONATHAN GLASHOW MD (OWNER)
- **Authorized official phone:** (212) 794-5096

## Contact information

- **Practice address:** 737 PARK AVE FRNT 1B, NEW YORK, NY 10021-4248
- **Practice address phone:** (212) 794-5096
- **Practice address fax:** (917) 591-1312
- **Mailing address:** 737 PARK AVE FRNT 1B, NEW YORK, NY 10021-4248
- **Mailing address phone:** (212) 794-5096
- **Mailing address fax:** (917) 591-1312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 01/23/2025