Individual
DR. KYUNG SUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 STEVENS AVE, 7TH FLOOR, MOUNT VERNON, NY 10550-2600
(914) 668-6366
Mailing address
100 STEVENS AVENUE, 7TH FLOOR, MOUNT VERNON, NY 10550-2026
(914) 668-6366
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
157978
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00841103
—
NY
Enumeration date
07/10/2006
Last updated
03/19/2014
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