Individual
HYEYOON HANNAH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14472 NORTHERN BLVD STE 203, FLUSHING, NY 11354-4231
(718) 886-9000
Mailing address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307577-1
NY
Other
Enumeration date
01/28/2016
Last updated
03/01/2022
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