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Organization
MIND MEDICAL, PLLC
Active
Organization
MIND MEDICAL, PLLC
Active
Other names
MIND MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUNG PARK MD (FOUNDER/CEO)
(212) 624-9162
Entity
Organization
Contact information
Practice address
210 FIFTH AVE, 2ND FL, NEW YORK, NY 10010-2119
(917) 794-7747
Mailing address
210 FIFTH AVE, 2ND FL, NEW YORK, NY 10010
(212) 624-9162
(646) 512-8058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/04/2022
Last updated
08/24/2023
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