# PARK NYC MEDICAL OFFICE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154874899
- **Authorized official:** DR. EVERETT MARC LAUTIN M.D. (OWNER)
- **Authorized official phone:** (212) 535-0229

## Contact information

- **Practice address:** 885 PARK AVE, NEW YORK, NY 10075-0325
- **Practice address phone:** (212) 535-0229
- **Mailing address:** 885 PARK AVE, NEW YORK, NY 10075-0325
- **Mailing address phone:** (212) 535-0229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | Yes |
| 171W00000X | Contractor | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2016
- **Last updated:** 07/29/2016
