# PARK LENOX SURGICAL, PC

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

## Provider details

- **NPI number:** 1992861652
- **Authorized official:** PATRICIA SHEPPARD CPC (DIRECTOR OF BILLING OPERATIONS)
- **Authorized official phone:** (212) 434-2727

## Contact information

- **Practice address:** 130 E 77TH ST, 13 FLOOR, NEW YORK, NY 10075-1851
- **Practice address phone:** (212) 434-3420
- **Practice address fax:** (212) 434-3410
- **Mailing address:** 130 E 77TH ST FL 13, BLACK HALL, NEW YORK, NY 10075-1851
- **Mailing address phone:** (212) 434-3420
- **Mailing address fax:** (212) 434-3410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 07/06/2010