# PARK AVENUE MANHATTAN MEDICAL SERVICES, P.C.

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

## Provider details

- **NPI number:** 1396982807
- **Authorized official:** DR. EVERETT LAUTIN M.D. (PRESIDENT)
- **Authorized official phone:** (212) 535-0229

## Contact information

- **Practice address:** 885 PARK AVE, ENTRANCE ON 78 STREET, NEW YORK, NY 10075-0383
- **Practice address phone:** (212) 535-0229
- **Practice address fax:** (212) 734-3192
- **Mailing address:** 885 PARK AVENUE, ENTRANCE ON 78 STREET, NEW YORK, NY 10075
- **Mailing address phone:** (212) 535-0229
- **Mailing address fax:** (212) 734-3192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 112817-1 | NY | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 01/21/2009