Individual
SUNJU PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 BAINBRIDGE AVE, BRONX, NY 10467
(718) 920-2020
Mailing address
3332 ROCHAMBEAU AVE FL 3, BRONX, NY 10467-2836
(718) 920-5520
(718) 881-5439
Taxonomy
Speciality
Code
Description
License number
State
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
292508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131740114
TAX ID
—
Enumeration date
03/18/2011
Last updated
06/20/2018
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