# PARK AVENUE COMPREHENSIVE MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARK AVENUE COMPREHENSIVE MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427353747
- **Authorized official:** DR. VARUZHAN DOVLATYAN M.D. (CEO)
- **Authorized official phone:** (201) 390-3566

## Contact information

- **Practice address:** 461 PARK AVE S, 11TH FLOOR, NEW YORK, NY 10016-6822
- **Practice address phone:** (212) 686-2800
- **Mailing address:** 461 PARK AVE S, 11TH FLOOR, NEW YORK, NY 10016-6822
- **Mailing address phone:** (212) 686-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 3528 | NY | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 01/18/2011