Individual
GERALD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55W 17TH STREET SUITE 102, NEW YORK, NY 10011-2609
(212) 378-9983
Mailing address
55W 17TH STREET SUITE 102, NEW YORK, NY 10011
(646) 270-7275
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA11898200
NJ
207L00000X
Anesthesiology Physician
277617
NY
Other
Enumeration date
07/10/2007
Last updated
09/03/2025
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