Organization
PARK AVENUE MANHATTAN MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT LAUTIN M.D. (PRESIDENT)
(212) 535-0229
Entity
Organization
Contact information
Practice address
885 PARK AVE, ENTRANCE ON 78 STREET, NEW YORK, NY 10075-0383
(212) 535-0229
(212) 734-3192
Mailing address
885 PARK AVENUE, ENTRANCE ON 78 STREET, NEW YORK, NY 10075
(212) 535-0229
(212) 734-3192
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
112817-1
NY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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