Organization
PARK AVENUE OFFICE BASED PODIATRIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST L ISAACSON DPM (PRESIDENT)
(212) 420-6002
Entity
Organization
Contact information
Practice address
30 PARK AVE, NEW YORK, NY 10016-3801
(212) 420-6002
Mailing address
30 PARK AVE, NEW YORK, NY 10016-3801
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6942
AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.
NY
Enumeration date
10/22/2018
Last updated
10/22/2018
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