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Organization
PARK AVE AMBULATORY MEDICAL FACILITY
Active
Organization
PARK AVE AMBULATORY MEDICAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VADIM KUSHNERIK MD (SURGICAL DIRECTOR)
(718) 422-5023
Entity
Organization
Contact information
Practice address
360 COURT ST, SUITE# 3, BROOKLYN, NY 11231-4353
(718) 422-5023
(718) 422-5025
Mailing address
360 COURT ST, SUITE# 3, BROOKLYN, NY 11231-4353
(718) 422-5023
(718) 422-5025
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
217486
NY
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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