Individual
HOON JAE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1772 SOUTH RD, WAPPINGERS FALLS, NY 12590-1361
(845) 298-6060
(845) 298-0901
Mailing address
1772 SOUTH RD, WAPPINGERS FALLS, NY 12590-1361
(845) 298-6060
(845) 298-0901
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
168538
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08F602
BC/BS
NY
01
—
497001
MVP
NY
Enumeration date
06/22/2005
Last updated
12/11/2009
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