Individual
IRENE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 E 41ST ST FL 9, NEW YORK, NY 10017-6258
(646) 760-3399
Mailing address
18 E 41ST ST FL 9, NEW YORK, NY 10017-6258
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P127607
NY
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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