Organization
PARK AVENUE OBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RAPAPORT (MEDICAL DIRECTOR)
(212) 752-1129
Entity
Organization
Contact information
Practice address
580 PARK AVE, NEW YORK, NY 10021-7313
(212) 752-1129
Mailing address
580 PARK AVE, NEW YORK, NY 10021-7313
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
182373
NY
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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