Individual
DR. JACQUELINE MIN-SUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030
(516) 562-0100
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
299562
NY
208M00000X
Hospitalist Physician
Primary
299562
NY
Other
Enumeration date
03/29/2016
Last updated
01/09/2020
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