Individual
MR. ANDREW JAE-MIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 CLINTON AVE S, ROCHESTER, NY 14620-1448
(555) 279-4800
Mailing address
777 CLINTON AVE S, ROCHESTER, NY 14620-1448
(585) 279-4800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
04/27/2022
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