Individual
BYUNG JOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-3615
(212) 434-2205
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-3615
(212) 434-2205
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
304767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304767
NEW YORK STATE MEDICAL LICENSE
NY
Enumeration date
05/04/2017
Last updated
11/29/2024
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