Park 62 Perio & Perio-Prosthesis PC
Park 62 Perio & Perio-Prosthesis PC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
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 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 838-0090
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 440777 (NY) |
|---|
Record details
| NPI number | 1740737758 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pasquale Malpeso — President · (212) 838-0090 |
| NPI enumerated | September 7, 2016 |
| Last updated in NPPES | September 7, 2016 |
| Mailing address | 563 Park Ave, New York, NY 10065-7379 |
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