Organization
PARK AVENUE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC DOWD (CREDENTIALING COORDINATOR)
(914) 949-7900
Entity
Organization
Contact information
Practice address
17 WOODS AVE, GREENWICH, CT 06831-3633
(917) 337-5804
Mailing address
17 WOODS AVE, GREENWICH, CT 06831-3633
(917) 337-5804
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
073864
CT
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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