Organization
PARK EAST PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND K KWAN MD (OFFICER)
(212) 734-4488
Entity
Organization
Contact information
Practice address
302 E 72ND ST, NEW YORK, NY 10021-4772
(212) 734-4488
(212) 734-5115
Mailing address
302 E 72ND ST, NEW YORK, NY 10021-4772
(212) 734-4488
(212) 734-5115
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
60188359
NY
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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