Individual
CHUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 LYONS RD, ARMONK, NY 10504-2227
(914) 273-6988
(877) 464-4042
Mailing address
23 LYONS RD, ARMONK, NY 10504-2227
(914) 273-6988
(877) 464-4042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
140413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00483110
—
NY
01
—
P00120327
RAILROAD MEDICARE
—
Enumeration date
06/08/2006
Last updated
08/01/2018
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