Individual
DR. KOJI PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 AMSTERDAM AVE, 4W, NEW YORK, NY 10025-1716
(212) 636-1000
(212) 523-2351
Mailing address
1111 AMSTERDAM AVE, 4W, NEW YORK, NY 10025-1716
(212) 636-1000
(212) 523-2351
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
276066
NY
Other
Enumeration date
03/28/2010
Last updated
06/02/2015
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