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Organization

PARK AVENUE MATERNAL-FETAL MEDICINE PLLC

Active
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Organization

PARK AVENUE MATERNAL-FETAL MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HENRIQUE PARAIZO (MANAGER)
(212) 249-1788
Entity
Organization

Contact information

Practice address
523 E 72ND ST FL 9, ATTN: KEITH B LESCALE MD, NEW YORK, NY 10021-4099
(212) 249-1788
Mailing address
523 E 72ND ST FL 9, ATTN: KEITH B LESCALE MD, NEW YORK, NY 10021-4099
(212) 249-1788

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
186070
NY

Other

Enumeration date
11/12/2007
Last updated
01/13/2009
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