Park Avenue Maxillary & Mandibular Restorations Pc

NPI 1235532870 - Clinic/Center - 261QA1903X

NPI Details
NPI 1235532870
Enumeration Date 09/26/2014
Last Updated 09/26/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PASQUALE PASQUALE
Position PRESIDENT
Phone (212) 838-0383
Fax
Practice Location
563 PARK AVE
NEW YORK NY, 10065-7379, US
Phone (212) 838-0383
Fax
Business Location
563 PARK AVE
NEW YORK NY, 10065-7379, US
Phone
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State New York
License Number 440777
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According to our database, Park Avenue Maxillary & Mandibular Restorations Pc NPI is 1235532870, taxonomy code is 261QA1903X and license number is 440777, license state is located at New York. Park Avenue Maxillary & Mandibular Restorations Pc physically located at 563 Park Ave, New York NY, 10065-7379. NPI Number 1033115704 has the healthcare provider type.

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1235532870 NPI number is provided on an as is basis without warranty of any kind. 1235532870 is maintained by the National Plan & Provider Enumeration System. The contents of Park Avenue Maxillary & Mandibular Restorations Pc are for informational purposes only.