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Organization
PARK AVENUE MANHATTAN MEDICAL SERVICES, P.C.
Active
Organization
PARK AVENUE MANHATTAN MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT LAUTIN M.D. (PRESIDENT)
(212) 535-0229
Entity
Organization
Contact information
Practice address
885 PARK AVE, ENTRANCE ON 78 STREET, NEW YORK, NY 10075-0383
(212) 535-0229
(212) 734-3192
Mailing address
885 PARK AVENUE, ENTRANCE ON 78 STREET, NEW YORK, NY 10075
(212) 535-0229
(212) 734-3192
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
112817-1
NY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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