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Organization

PARK AVENUE MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE ROLANDO SANCHEZ-PEA MD (PRESIDENT / CEO)
(212) 779-0202
Entity
Organization

Contact information

Practice address
451 PARK AVE S, FLOOR 2, NEW YORK, NY 10016-7390
(212) 779-0202
(212) 779-1521
Mailing address
451 PARK AVE S, FLOOR 2, NEW YORK, NY 10016-7390
(212) 779-0202
(212) 779-1521

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
136143
NY
207R00000X
Internal Medicine Physician
158015
NY
207R00000X
Internal Medicine Physician
213773
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
158015
NY
207RI0200X
Infectious Disease Physician
Primary
213773
NY
207RP1001X
Pulmonary Disease Physician
158015
NY
2085N0904X
Nuclear Radiology Physician
202594
NY
2085R0202X
Diagnostic Radiology Physician
202594
NY
2085R0204X
Vascular & Interventional Radiology Physician
202594
NY
2085U0001X
Diagnostic Ultrasound Physician
202594
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00836824
NY
Enumeration date
10/19/2005
Last updated
09/11/2025
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