Park 62 Oral Facial Surgery PC
Park 62 Oral Facial Surgery PC is an Ambulatory Surgical Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2017.
- Licensed in
- NY
- In the registry since
- 2017
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
563 Park AveNew York, NY 10065-7379
Phone: (212) 838-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 440777 (NY) |
|---|
Record details
| NPI number | 1518493717 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Chotkowski — Medical Director · (212) 838-0090 |
| NPI enumerated | May 8, 2017 |
| Last updated in NPPES | May 8, 2017 |
| Mailing address | 563 Park Ave., New York, NY 10065 |
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