Organization
PARK AVENUE MEDICAL FAMILY PRACTICE & GERIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON FELDER MANAGER (OFFICE MANAGER)
(914) 965-4300
Entity
Organization
Contact information
Practice address
102 PARK AVE, YONKERS, NY 10703-2934
(914) 965-4300
(914) 965-7625
Mailing address
102 PARK AVE, YONKERS, NY 10703-2934
(914) 965-4300
(914) 965-7625
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
148454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01019209
—
NY
Enumeration date
03/27/2008
Last updated
09/06/2019
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