Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Park Avenue Ambulatory Medical PC

Organization Ambulatory Surgical Clinic/Center · NPI 1609265016

Park Avenue Ambulatory Medical PC provides Ambulatory Surgical Clinic/Center services in New York, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1045 Park Ave
New York, NY 10028-1030 Not confirmed with CMS for 10 years — call before visiting
Phone: (973) 419-0200
Fax: (973) 419-0244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 2205381 (NY)

Record details

NPI number1609265016
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAtlantic Spine Center LLC
Authorized official Kaixuan Liu — President · (973) 419-0200
NPI enumeratedJanuary 22, 2015
Last updated in NPPESOctober 15, 2015
Mailing address1045 Park Ave, New York, NY 10028-1030

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