# PARK AVENUE AMBULATORY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NYC Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700486511
- **Authorized official:** SHANALEE ACKERMAN (FACILITY DIRECTOR)
- **Authorized official phone:** (212) 433-0737

## Contact information

- **Practice address:** 737 PARK AVE FRNT 1B, NEW YORK, NY 10021-4248
- **Practice address phone:** (212) 433-0737
- **Mailing address:** 1775 YORK AVE APT 32A, NEW YORK, NY 10128-6921
- **Mailing address phone:** (425) 503-1607

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2020
- **Last updated:** 10/30/2020