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

Park Avenue Maxillary & Mandibular Restorations PC

Organization Ambulatory Surgical Clinic/Center · NPI 1235532870

Park Avenue Maxillary & Mandibular Restorations PC is an Ambulatory Surgical Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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

563 Park Ave
New York, NY 10065-7379
Phone: (212) 838-0383
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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 number1235532870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pasquale Malpeso — President · (212) 838-0090
NPI enumeratedSeptember 26, 2014
Last updated in NPPESSeptember 26, 2014
Mailing address563 Park Ave, New York, NY 10065-7379

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