PARK AVENUE MAXILLARY & MANDIBULAR RESTORATION PC
NPI 1457656381
Clinic/Center - Ambulatory Surgical in New York, NY

Q: What is Park Avenue Maxillary & Mandibular Restoration PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 25, 2011

563 PARK AVE, NEW YORK, NY 10065(212) 838-0090(212) 935-1296 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Park Avenue Maxillary & Mandibular Restoration Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK AVENUE MAXILLARY & MANDIBULAR RESTORATION PC (NPI 1457656381) is a healthcare organization registered as an ambulatory surgical in New York, New York and active in the NPI registry since January 2011. The organization lists Patricia Ponce, Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1457656381

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePARK AVENUE MAXILLARY & MANDIBULAR RESTORATION PC

Location Address563 PARK AVENew York, NY 10065-7379

Mailing Address563 Park AveNew York, NY 10065-7379 · (212) 838-0090 · Fax (212) 935-1296

Phone(212) 838-0090

Fax(212) 935-1296

Organization SubpartNo

Authorized OfficialPatricia PonceOffice Supervisor · (212) 838-0090

Enumeration DateJanuary 25, 2011

✔ NPI 1457656381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in NY · 0386071

563 PARK AVE, New York, NY 10065

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

G CHOTKOWSKI DMD PC

Dentist (Oral and Maxillofacial Surgery)