Individual
DR. JUYEON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 687-2842
Mailing address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
333140
NY
208600000X
Surgery Physician
67665
TN
Other
Enumeration date
03/25/2018
Last updated
10/23/2024
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