Organization
PARK AVENUE GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L KLEIN MD (PRESIDENT)
(212) 689-3500
Entity
Organization
Contact information
Practice address
35 E 35TH ST, SUITE # 200, NEW YORK, NY 10016-3823
(212) 689-3500
(212) 689-8234
Mailing address
35 E 35TH ST, SUITE # 200, NEW YORK, NY 10016-3823
(212) 689-3500
(212) 689-8234
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
142535 01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00479589
—
NY
Enumeration date
12/13/2010
Last updated
01/17/2012
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