Individual
MS. IRENE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
20 E 46TH ST, NEW YORK, NY 10017-2417
(212) 481-3600
Mailing address
20 E 46TH ST, NEW YORK, NY 10017-2417
(212) 481-3600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304682-1
NY
Other
Enumeration date
04/19/2007
Last updated
02/03/2012
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