Organization
PARK AVENUE MEDICL ASSOCIATES P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE SANCHEZ PENA M.D. (OWNER)
(212) 779-0202
Entity
Organization
Contact information
Practice address
1974 1ST AVE, NEW YORK, NY 10029-6430
(212) 779-0202
Mailing address
1974 1ST AVE, NEW YORK, NY 10029-6430
(212) 779-0202
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
158015-1
NY
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
158015-1
NY
Other
Enumeration date
10/10/2006
Last updated
05/20/2008
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