# 850 PARK SURGICAL

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

## Provider details

- **NPI number:** 1376881045
- **Authorized official:** DR. DARRICK ANTELL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 988-4040

## Contact information

- **Practice address:** 850 PARK AVE, 1ST FLOOR, NEW YORK, NY 10075-1845
- **Practice address phone:** (212) 988-4040
- **Mailing address:** 850 PARK AVE, 1ST FLOOR, NEW YORK, NY 10075-1845
- **Mailing address phone:** (212) 988-4040

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2013
- **Last updated:** 01/30/2013