# PARK AVENUE OBS

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

## Provider details

- **NPI number:** 1184848921
- **Authorized official:** DAVID RAPAPORT (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 752-1129

## Contact information

- **Practice address:** 580 PARK AVE, NEW YORK, NY 10021-7313
- **Practice address phone:** (212) 752-1129
- **Mailing address:** 580 PARK AVE, NEW YORK, NY 10021-7313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 182373 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020