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Organization
NEW YORK UNIVERSITY
Active
Organization
NEW YORK UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANGSOO MICHAEL PARK DDS (PEDIATRIC DENTAL RESIDENT)
(224) 595-9132
Entity
Organization
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Mailing address
201 W 106TH ST, APT 10, NEW YORK, NY 10025-3600
(224) 595-9132
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/26/2015
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