Individual
SOOANN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3245 NOSTRAND AVE KINGS HWY CENTER, BROOKLYN, NY 11229
(718) 615-3777
(718) 615-3481
Mailing address
233 NOSTRAND AVE, BROOKLYN, NY 11205
(718) 826-5911
(718) 826-5860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
120117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00223383
—
NY
Enumeration date
08/17/2006
Last updated
03/29/2026
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