Individual
DR. MICHELLE E PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 5TH AVE UNIT 2, NEW YORK, NY 10011-8856
(212) 256-1075
(866) 493-9161
Mailing address
2 5TH AVE UNIT 2, NEW YORK, NY 10011-8856
(212) 256-1075
(866) 493-9161
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
292503-1
NY
Other
Enumeration date
06/16/2014
Last updated
10/08/2018
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