Individual
PAUL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5141 BROADWAY, 3 FIELD WEST, NEW YORK, NY 10034-1003
(212) 305-4565
(212) 932-5097
Mailing address
525 E 68TH ST # 99, NEW YORK, NY 10065-4870
(212) 746-7625
(212) 305-6193
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
309469
NY
Other
Enumeration date
04/13/2016
Last updated
12/16/2022
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