Individual
JUSTINA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4550
Mailing address
60 CHAFFEE CIR, NORWOOD, NJ 07648-1248
(201) 916-6611
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433409
NY
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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