Individual
ANTHONY K. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
64 BLEECKER ST # 151, NEW YORK, NY 10012-2410
(917) 810-3965
Mailing address
64 BLEECKER ST # 151, NEW YORK, NY 10012-2410
(917) 810-3965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A70693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A706930
—
CA
Enumeration date
11/02/2006
Last updated
04/04/2024
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