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Organization
PARK AVENUE PHYSICIANS PC
Active
Organization
PARK AVENUE PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEEZA MANTONE (OFFICE MANAGER)
(917) 732-3990
Entity
Organization
Contact information
Practice address
5 W 86TH ST APT 1B, NEW YORK, NY 10024-3663
(917) 732-3990
Mailing address
5 W 86TH ST APT 1B, NEW YORK, NY 10024-3663
(917) 732-3990
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
01/19/2018
Last updated
01/27/2018
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