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

Park Avenue Periodontal Prosthesis Obs Facility

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1285880427

Park Avenue Periodontal Prosthesis Obs Facility is an Oral & Maxillofacial Surgery (D.M.D.) in New York, New York. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

563 Park Ave
New York, NY 10065-7314
Phone: (212) 838-0090
Fax: (212) 935-1296
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1285880427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pasquale Malpeso — Owner · (212) 838-0090
NPI enumeratedAugust 7, 2008
Last updated in NPPESAugust 7, 2008
Mailing address563 Park Ave, New York, NY 10065-7314

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