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Organization
PARK AVENUE CONCIERGE MEDICINE PC
Active
Organization
PARK AVENUE CONCIERGE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MULVEHILL M.D. (OWNER)
(212) 737-3136
Entity
Organization
Contact information
Practice address
10 E 78TH ST, SUITE 1B, NEW YORK, NY 10075-1713
(212) 737-3136
(212) 737-3481
Mailing address
10 E 78TH ST, SUITE 1B, NEW YORK, NY 10075-1713
(212) 737-3136
(212) 737-3481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
216111
NY
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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