Individual
JUSTIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 BUFFALO RD BLDG 700, ROCHESTER, NY 14624-1367
(585) 328-0153
Mailing address
2300 BUFFALO RD BLDG 700, ROCHESTER, NY 14624-1367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301506332
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2015
Last updated
06/21/2025
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