Type 2 organization · NPI 1003805219

PARK AVENUE MEDICAL PLLC

207RI0200X · NEW YORK, NY

Why this profile is appearing now

Observed change signals

No current public change signal is attached to this profile.

Reported classification

Taxonomies

CodeDescriptionSource flag
207RI0200X 207RI0200X Primary
207R00000X 207R00000X Additional
207R00000X 207R00000X Additional
207R00000X 207R00000X Additional
207RG0300X 207RG0300X Additional
207RP1001X 207RP1001X Additional
2085N0904X 2085N0904X Additional
2085R0202X 2085R0202X Additional
2085R0204X 2085R0204X Additional
2085U0001X 2085U0001X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s