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Organization
SAMUEL PARK MD, PLLC
Active
Organization
SAMUEL PARK MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL J PARK MD (PRESIDENT)
(516) 619-8098
Entity
Organization
Contact information
Practice address
160 1ST ST UNIT 551, MINEOLA, NY 11501-5025
(516) 619-8098
Mailing address
160 1ST ST UNIT 551, MINEOLA, NY 11501-5025
(516) 619-8098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/26/2016
Last updated
06/06/2019
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