Individual
HYEYOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 BROAD AVE, STE N10, PALISADES PARK, NJ 07650-2717
(201) 313-1122
(201) 941-1157
Mailing address
956 BANTA PL APT C, RIDGEFIELD, NJ 07657-1757
(917) 623-0065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00580000
NJ
363LF0000X
Family Nurse Practitioner
F339276
NY
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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