Organization
PARK AVENUE MEDICAL SUITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE M CHEN M.D. (DIRECTOR)
(212) 792-6378
Entity
Organization
Contact information
Practice address
875 PARK AVE, SUITE 1F, NEW YORK, NY 10075-0382
(212) 792-6378
(212) 504-9511
Mailing address
875 PARK AVE, SUITE 1F, NEW YORK, NY 10075-0382
(212) 792-6378
(212) 504-9511
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
236558
NY
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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