Organization
PARK AVE RECONSTRUCTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS SENDEROFF MD (PRESIDENT)
(212) 481-3939
Entity
Organization
Contact information
Practice address
461 PARK AVE SOUTH STE 7A, NEW YORK, NY 10016-8403
(212) 481-3939
(212) 688-6602
Mailing address
461 PARK AVE SOUTH STE 7A, NEW YORK, NY 10016-8403
(212) 481-3939
(212) 688-6602
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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