Organization
BAYSIDE PEDIATRICS PC
Active
Organization
BAYSIDE PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOHAN PARK MD (MEDICAL DOCTOR)
(718) 229-7337
Entity
Organization
Contact information
Practice address
4223 212TH ST STE 1A, BAYSIDE, NY 11361-2987
(718) 229-7337
(718) 229-7333
Mailing address
4223 212TH ST STE 1A, BAYSIDE, NY 11361-2987
(718) 229-7337
(718) 229-7333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
01/21/2022
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