Individual
OLIVER PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 FLATBUSH AVE STE 1, BROOKLYN, NY 11217-1145
(718) 407-4702
(718) 228-8985
Mailing address
41 FLATBUSH AVE STE 1, BROOKLYN, NY 11217-1145
(718) 407-4702
(718) 228-8953
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
291993
NY
Other
Enumeration date
07/13/2013
Last updated
08/07/2025
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