Organization
PARK AVENUE ORAL & FACIAL SURGERY, P.C.
Active
Organization
PARK AVENUE ORAL & FACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN COHEN DDS (PRESIDENT)
(212) 988-6725
Entity
Organization
Contact information
Practice address
970 PARK AVE, NEW YORK, NY 10028-0324
(212) 988-6725
(212) 988-6726
Mailing address
970 PARK AVE, NEW YORK, NY 10028-0324
(212) 988-6725
(212) 988-6726
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
053655
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02922883
—
NY
Enumeration date
04/09/2010
Last updated
06/08/2020
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