Organization
PARK AVENUE SPORTS MEDICINE & REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSKAR WEG (OWNER)
(718) 575-5050
Entity
Organization
Contact information
Practice address
110-45 QUEENS BLVD, SUITE 117, FOREST HILLS, NY 11375
(718) 575-5050
(718) 575-8541
Mailing address
11045 QUEENS BLVD 117, FOREST HILLS, NY 11375-5519
(715) 575-5050
(718) 575-8541
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
169749
NY
Other
Enumeration date
04/16/2008
Last updated
06/05/2008
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