620 PARK AVENUE OBS; NPI #1508086570

Contact Information

620 PARK AVENUE OBS

620 PARK AVENUE
NEW YORK, NY 10021-0001

Phone: 212-570-6318
Fax: 212-988-4623
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for 620 PARK AVENUE OBS

NPI Number	`1508086570`
LBN Legal business name	620 PARK AVENUE OBS
Authorized official	CARROLL LESESNE - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/01/2007
Last updated	10/03/2007 - About 19 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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