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Organization

PARK AVENUE PREMIER SURGICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT GUIDA M.D. (MEDICAL DIRECTOR)
(212) 871-0900
Entity
Organization

Contact information

Practice address
1175 PARK AVE, NEW YORK, NY 10128-1211
(212) 871-0900
(212) 871-0909
Mailing address
1175 PARK AVE, NEW YORK, NY 10128-1211
(212) 871-0900
(212) 871-0909

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
07/19/2010
Last updated
07/19/2010
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