Individual
DR. RICHARD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 COMMUNITY DR, GREAT NECK, NY 11021-5502
(516) 465-1900
(516) 465-1830
Mailing address
LIJMC-DEPT OF EMERGENCY MEDICINE, 270-05 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-7500
(718) 347-7849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
224603
NY
Other
Enumeration date
05/01/2006
Last updated
03/08/2011
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