# PARK AVENUE OFFICE BASED PODIATRIC SURGERY PC

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

## Provider details

- **NPI number:** 1831665470
- **Authorized official:** ERNEST L ISAACSON DPM (PRESIDENT)
- **Authorized official phone:** (212) 420-6002

## Contact information

- **Practice address:** 30 PARK AVE, NEW YORK, NY 10016-3801
- **Practice address phone:** (212) 420-6002
- **Mailing address:** 30 PARK AVE, NEW YORK, NY 10016-3801

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2018
- **Last updated:** 10/22/2018