Organization
PARKMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANN MABERRY (FINANCIAL DIRECTOR)
(212) 686-6402
Entity
Organization
Contact information
Practice address
800 2ND AVE, NEW YORK, NY 10017-4709
(212) 686-6402
(212) 779-7724
Mailing address
800 2ND AVE, NEW YORK, NY 10017-4709
(212) 686-6402
(212) 779-7724
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QA1903X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01995519
—
NY
Enumeration date
11/24/2006
Last updated
02/19/2008
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