Organization
CHUNG B PARK PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUNG B PARK MD (OWNER)
(917) 847-0594
Entity
Organization
Contact information
Practice address
900 NORTHERN BLVD STE 140, GREAT NECK, NY 11021-5302
(516) 466-6760
(516) 466-6776
Mailing address
23 LYONS RD, ARMONK, NY 10504-2227
(914) 273-6988
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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