Organization
IPARK PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INNJEA PARK D.P.M. (OWNER)
(917) 796-1693
Entity
Organization
Contact information
Practice address
970 BARD AVENUE, STATEN ISLAND, NY 10301
(718) 717-8033
(718) 720-6931
Mailing address
1042 HUGUENOT AVE, STATEN ISLAND, NY 10312-4315
(917) 796-1693
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
05/07/2025
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