Healthcare Provider Details

I. General information

NPI: 1326208364
Provider Name (Legal Business Name): CENTRAL PARK MEDICAL SERVICES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 CENTRAL PARK S # 2F
NEW YORK NY
10019-1409
US

IV. Provider business mailing address

230 CENTRAL PARK S # 2F
NEW YORK NY
10019-1409
US

V. Phone/Fax

Practice location:
  • Phone: 212-582-4094
  • Fax: 212-246-3430
Mailing address:
  • Phone: 212-582-4094
  • Fax: 212-246-3430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0006X
TaxonomyAmbulatory Fertility Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RAJINDER SINGH DHAMOON
Title or Position: MANAGER
Credential: M.S.
Phone: 212-582-4094