NPI 1285880427

Park Avenue Periodontal Prosthesis Obs Facility

Organisation Oral & Maxillofacial Surgery (D.M.D.) New York, NY

Practice location

Address: 563 Park Ave, New York, NY 10065-7314
Phone: (212) 838-0090
Fax: (212) 935-1296

Authorised official

Name: Pasquale J Malpeso
Title: Owner
Phone: (212) 838-0090

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in New York →

Registry record

NPI: 1285880427
Entity type: Organization
NPI issued: 7 Aug 2008
Record last updated: 7 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.