Organization
PARK AVENUE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA PONCE (OFFICE SUPERVISOR)
(212) 838-0090
Entity
Organization
Contact information
Practice address
563 PARK AVE, NEW YORK, NY 10065-7379
(212) 838-0090
(212) 935-1296
Mailing address
563 PARK AVE, NEW YORK, NY 10065-7379
(212) 838-0090
(212) 935-1296
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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