Organization
SAE JOUN PARK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAE JOUN PARK M.D. (PRESIDENT)
(607) 762-2020
Entity
Organization
Contact information
Practice address
10 MITCHELL AVE, BINGHAMTON, NY 13903-1617
(607) 762-2020
(607) 762-2029
Mailing address
10 MITCHELL AVE, BINGHAMTON, NY 13903-1617
(607) 762-2020
(607) 762-2029
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
110896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00395675
—
NY
Enumeration date
03/09/2010
Last updated
03/09/2010
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