Organization
PARK AVENUE AMBULATORY CENTER LLC
Active
Other names
NYC Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANALEE ACKERMAN (FACILITY DIRECTOR)
(212) 433-0737
Entity
Organization
Contact information
Practice address
737 PARK AVE FRNT 1B, NEW YORK, NY 10021-4248
(212) 433-0737
Mailing address
1775 YORK AVE APT 32A, NEW YORK, NY 10128-6921
(425) 503-1607
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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