Individual
DR. MICHAEL JUNG HOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 NICHOLLS ROAD HSC T-16 SUITE 030, STONY BROOK, NY 11794-1126
(631) 638-4464
Mailing address
23 MELBOURNE RD, GREAT NECK, NY 11021-4636
(917) 747-9090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293472
NY
207RC0000X
Cardiovascular Disease Physician
Primary
293472
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2015
Last updated
06/12/2023
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