Organization
850 PARK SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRICK ANTELL MD (MEDICAL DIRECTOR)
(212) 988-4040
Entity
Organization
Contact information
Practice address
850 PARK AVE, 1ST FLOOR, NEW YORK, NY 10075-1845
(212) 988-4040
Mailing address
850 PARK AVE, 1ST FLOOR, NEW YORK, NY 10075-1845
(212) 988-4040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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