Individual
INYOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 ASTOR AVE, BRONX, NY 10469-5803
(917) 285-4466
Mailing address
1309 ASTOR AVE, BRONX, NY 10469-5803
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
722325
NY
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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