Individual
DR. TAI PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6290
Mailing address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6290
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
115914
NY
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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