Organization Name: | PARK AVENUE MEDICAL PROFESSIONALS |
NPI Number: | 1023044161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID HOWARD BERMAN (CEO, OWNER) |
Mailing Address: | 120 E 86th St 2nd Floor New York |
State: | NY US |
Postal Code: | 100281062 |
Phone Number: | 2124272000 |
Fax Number: | 2124272008 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 222732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |