Individual
DR. JOON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4904 19TH AVE, ASTORIA, NY 11105-1002
(347) 774-7000
Mailing address
4904 19TH AVE, ASTORIA, NY 11105-1002
(347) 774-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
255691
NY
Other
Enumeration date
06/06/2008
Last updated
12/19/2014
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