NPI 1992065007

Park Avenue Medical Associates

Organisation Skilled Nursing Facility Greenwich, CT

Practice location

Address: 17 Woods Ave, Greenwich, CT 06831-3633
Phone: (917) 337-5804

Authorised official

Name: Eric Dowd
Title: Credentialing Coordinator
Phone: (914) 949-7900

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 073864 (CT)

Other Skilled Nursing Facility providers in Connecticut →

Registry record

NPI: 1992065007
Entity type: Organization
NPI issued: 22 May 2012
Record last updated: 22 May 2012

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.