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Organization
WOODSIDE MEDICAL CARE P.C
Active
Organization
WOODSIDE MEDICAL CARE P.C
Active
Other names
parsons medical care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DO YOUNG PARK D.O (DIRECTOR)
(718) 446-6579
Entity
Organization
Contact information
Practice address
6019 ROOSEVELT AVE. 201, WOODSIDE, NY 11377-3537
(718) 446-6579
(718) 446-1213
Mailing address
6019 ROOSEVELT AVE. 201, WOODSIDE, NY 11377-3537
(718) 446-6579
(718) 446-1213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209387
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02104149
—
NY
Enumeration date
01/29/2008
Last updated
12/27/2018
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