Individual
MR. EUNG WHAN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 COPPERLEAF TERRACE, STATEN ISLAND, NY, NY 10304
(718) 987-6652
(718) 987-6652
Mailing address
15 COPPERLEAF TERRACE, STATEN ISLAND, NY 10304
(718) 987-6652
(718) 987-6652
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
115322
NY
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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