Organization
PARK AVENUE AMBULATORY MEDICAL PC
Active
Parent organization
ATLANTIC SPINE CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC SPINE CENTER LLC
Authorized official
DR. KAIXUAN LIU MD (PRESIDENT)
(973) 419-0200
Entity
Organization
Contact information
Practice address
1045 PARK AVE, NEW YORK, NY 10028-1030
(973) 419-0200
(973) 419-0244
Mailing address
1045 PARK AVE, NEW YORK, NY 10028-1030
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2205381
NY
Other
Enumeration date
01/22/2015
Last updated
10/15/2015
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