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Contact Information

PARK AVENUE MEDICAL ASSOCIATES LLC
187 OAK GROVE AVE
BRATTLEBORO, VT05301
 Phone: 914-949-1199
 Fax: 914-949-1245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PARK AVENUE MEDICAL ASSOCIATES LLC · (Female)

NPI # 1669746020
Status Active
Credentials
Entity Individual
Enumeration date 03/02/2012
Last updated 03/02/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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