# PARK AVENUE MEDICAL IMAGING AND MOMMOGRAPHY

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

## Provider details

- **NPI number:** 1356607782
- **Authorized official:** YEFIM VAYNSELBAUM M.D (RADIOLOGY)
- **Authorized official phone:** (212) 697-4589

## Contact information

- **Practice address:** 330 E 38TH ST APT 44I, NEW YORK, NY 10016-2783
- **Practice address phone:** (212) 697-4589
- **Mailing address:** 330 E 38TH ST APT 44I, NEW YORK, NY 10016-2783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 161694 | NY | Yes |

## Other

- **Enumeration date:** 04/10/2012
- **Last updated:** 04/10/2012