OrganizationActive
620 Park Avenue Obs
NPI 1508086570 · Ambulatory Surgical Clinic/Center · New York, NY
Provider details
- NPI number
- 1508086570
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Carroll Lesesne, President
Practice location
620 Park Avenue
New York, NY 10021-0001
Phone: (212) 570-6318
Fax: (212) 988-4623
Mailing address
620 Park Avenue
New York, NY 10021-0001
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2007-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.