# PARK AVENUE EYE LLC

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

## Provider details

- **NPI number:** 1215813951
- **Authorized official:** TILLIE ANDRADE (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (702) 449-9173

## Contact information

- **Practice address:** 110 E 60TH ST, STE 602, NEW YORK, NY 10022-1811
- **Practice address phone:** (212) 808-4888
- **Mailing address:** 110 E 60TH ST, STE 602, NEW YORK, NY 10022-1811
- **Mailing address phone:** (212) 808-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/15/2025
- **Last updated:** 10/15/2025