Individual
DR. HYE YANG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1873 WESTERN AVE, SUITE 200, ALBANY, NY 12203-5028
(518) 869-1044
(518) 869-1965
Mailing address
1873 WESTERN AVE, SUITE 200, ALBANY, NY 12203-5028
(518) 869-1044
(518) 869-1965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055378
NEW YORK STATE LICENSE
NY
Enumeration date
10/05/2011
Last updated
10/05/2011
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