Individual
AILEEN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E. 210TH ST., DEPARTMENT OF ONCOLOGY - GOLD ZONE, BRONX, NY 10467-2401
(718) 920-4057
Mailing address
111 E. 210TH ST., DEPARTMENT OF ONCOLOGY - GOLD ZONE, BRONX, NY 10467-2401
(718) 920-4057
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
263863-1
NY
Other
Enumeration date
11/24/2009
Last updated
01/30/2014
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