Individual
EON R PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
21824 136TH AVE, SPRINGFIELD GARDENS, NY 11413-2247
(718) 527-0606
Mailing address
21824 136TH AVE, SPRINGFIELD GARDENS, NY 11413-2247
(718) 527-0606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
116742-01
NY
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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