Individual
ANGELA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
726 BROADWAY, PRIMACY CARE, NEW YORK, NY 10003-9502
(212) 443-1103
(212) 443-1049
Mailing address
330 E 75TH ST, # 18 A, NEW YORK, NY 10021-3082
(212) 288-8283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
204298
NY
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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