Individual
SUYUN KIM-PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6005
(212) 305-5944
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6005
(212) 305-5944
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
016112-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
46TR00375100
NJ
Other
Enumeration date
09/28/2017
Last updated
03/25/2020
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