Individual
STEPHANIE YUNSUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
28 W 32ND ST, NEW YORK, NY 10001-3821
(212) 868-3310
Mailing address
24631 51ST AVE, LITTLE NECK, NY 11362-1697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TU005133-1
NY
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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