Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Park Avenue Ambulatory Medical PC

Organization Ambulatory Surgical Clinic/Center · NPI 1609265016

Park Avenue Ambulatory Medical PC is an Ambulatory Surgical Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1045 Park Ave
New York, NY 10028-1030
Phone: (973) 419-0200
Fax: (973) 419-0244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 2205381 (NY)

Record details

NPI number1609265016
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAtlantic Spine Center LLC
Authorized official Kaixuan Liu — President · (973) 419-0200
NPI enumeratedJanuary 22, 2015
Last updated in NPPESOctober 15, 2015
Mailing address1045 Park Ave, New York, NY 10028-1030

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