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Surgery · New York, NY

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At a glance

80 Park Ave Apt 12P, New York, NY 10016-0282

NPPES record updated Jan 13, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

80 Park Ave Apt 12P
New York, NY 10016-0282
Professional details: NPI, taxonomy & registry record
NPI1306656111
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Registry details

Primary taxonomy
Surgery
Taxonomy code
208600000X
Enumeration date
Jan 13, 2025
Record updated
Jan 13, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Surgery

208600000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

80 Park Ave Apt 12P
New York, NY 10016-0282
Phone
(941) 806-9381
Mailing address
80 PARK AVE APT 12P

NEW YORK, NY 100160282
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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