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Individual

BRIAN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
465 BROADWAY, KINGSTON, NY 12401-4627
(845) 340-0244
(845) 340-0141
Mailing address
465 BROADWAY, KINGSTON, NY 12401-4627
(845) 340-0244
(845) 340-0141

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
202639-1
NY

Other

Enumeration date
08/29/2006
Last updated
08/06/2008
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