Organization
PARK AVENUE TRAUMA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIDEON HEDRYCH (OWNER)
(718) 625-9911
Entity
Organization
Contact information
Practice address
100 LIVINGSTON ST, 2ND FLOOR, BROOKLYN, NY 11201-5127
(718) 625-9911
Mailing address
100 LIVINGSTON ST, 2ND FLOOR, BROOKLYN, NY 11201-5127
(718) 625-9911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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