Individual
HYO SOON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2 DEAN DR FL 1, TENAFLY, NJ 07670-2765
(201) 568-8288
Mailing address
15 FOREST ST, CLOSTER, NJ 07624-1002
(201) 916-5485
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00939200
NJ
Other
Enumeration date
07/26/2019
Last updated
08/17/2019
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