Individual
KATHLEEN SIAPNO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1288 CENTRAL AVE, FAR ROCKAWAY, NY 11691-3909
(718) 945-7150
Mailing address
6200 BEACH CHANNEL DR, ARVERNE, NY 11692-1409
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
297604-1
NY
Other
Enumeration date
03/22/2016
Last updated
04/19/2023
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