Individual
MEGHAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
462 GRIDER ST FL 3, BUFFALO, NY 14215-3021
(716) 961-6091
Mailing address
36 WOODBURY PL, ROCHESTER, NY 14618-3440
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
304015
NY
Other
Enumeration date
02/09/2015
Last updated
12/22/2022
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