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Organization
PARK AVENUE MAXILLARY & MANDIBULAR RESTORATIONS PC
Active
Organization
PARK AVENUE MAXILLARY & MANDIBULAR RESTORATIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASQUALE MALPESO D.M.D. (PRESIDENT)
(212) 838-0090
Entity
Organization
Contact information
Practice address
563 PARK AVE, NEW YORK, NY 10065-7379
(212) 838-0383
Mailing address
563 PARK AVE, NEW YORK, NY 10065-7379
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
440777
NY
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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