PARK AVENUE PULMONARY ASSOCIATES
Medical Practice at Park Ave, New York, NY

License number
New York 155703
Category
Medical Practice
Type
Specialist
Owner
Name: DR. LOUIS DEPALO MD
Title: OWNER
Phone: (212) 289-3637
Address
Address
1130 Park Ave, New York, NY 10128
National Provider ID: 1154501476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PARK AVENUE PULMONARY ASSOCIATES, PC

New York, NY

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Mar 11, 2002
Inactive since:
Nov 26, 2008
Addresses:
1130 Park Ave, New York, NY 10128 (Physical)
Louis Depalo Md 1130 Park Ave SUITE 3, New York, NY 10128 (Physical)
State ID:
2741088
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Md Louis Depalo, 1130 Park Ave, New York, NY 10128 (Physical)

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