Park Ave Ambulatory Medical Facility in Brooklyn - Ambulatory Surgical
Park Ave Ambulatory Medical Facility - NPI 1205094562
Park Ave Ambulatory Medical Facility is a Ambulatory Surgical in Brooklyn, New York. Park Ave Ambulatory Medical Facility practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Park Ave Ambulatory Medical Facility is 1205094562. The last update date is 2008-05-22.
Park Ave Ambulatory Medical Facility's current location address is 360 Court St, Brooklyn, New York. You can contact this provider via phone number 7184225023 and fax number 7184225025. The mailing address for Park Ave Ambulatory Medical Facility is 360 Court St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park Ave Ambulatory Medical Facility |
|---|---|
| Address | 360 Court St, Brooklyn, New York |
| Phone Number | 7184225023 |
| Fax Number | 7184225025 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SURGICAL D |
|---|---|
| Authorized Official Name | Kushnerik Vadim |
| Credentials | MD |
| Telephone Number | 7184225023 |
NPI Number Detail
| NPI Number | 1205094562 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 360 Court St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112314353 |
| Phone Number | 7184225023 |
| Fax Number | 7184225025 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 217486 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
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What is the unique provider identifier assigned to Park Ave Ambulatory Medical Facility?
The Park Ave Ambulatory Medical Facility has been issued the NPI (National Provider Identifier) 1205094562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Park Ave Ambulatory Medical Facility?
The Park Ave Ambulatory Medical Facility is situated at 360 Court St, in the city of Brooklyn, state of NY, with the zip code 112314353.
What is the Park Ave Ambulatory Medical Facility's specialty and taxonomy code?
The Park Ave Ambulatory Medical Facility's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205094562 to Park Ave Ambulatory Medical Facility?
The Centers for Medicare & Medicaid Services originally issued the 1205094562 to Park Ave Ambulatory Medical Facility on 2008-05-22.
As of what date were the details related to Park Ave Ambulatory Medical Facility most recently updated or revised?
The information pertaining to Park Ave Ambulatory Medical Facility, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-22.