Individual
MS. KYEJIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ONE GUSTAVE L. LEVY PLACE, BOX 1234, NEW YORK, NY 10029
(212) 241-6388
Mailing address
800 PARK AVENUE, APT 1907, FORT LEE, NJ 07024
(201) 282-8304
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
342257
NY
2085R0202X
Diagnostic Radiology Physician
P133652
NY
Other
Enumeration date
03/06/2025
Last updated
04/13/2026
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