Individual
DR. KATHERINE ELIZABETH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
40 PARK AVE, #6, NEW YORK, NY 10016-3467
(917) 363-1201
(212) 614-1508
Mailing address
117 W 13TH ST, #29, NEW YORK, NY 10011-7853
(646) 226-2480
(212) 614-1508
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050582
NY
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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