Organization
TERRENCE S PARK PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE PARK (PODIATRIST)
(201) 916-0735
Entity
Organization
Contact information
Practice address
199 STATE ST APT 10B, BROOKLYN, NY 11201-8707
(201) 916-0735
Mailing address
301 GLEN DR, CEDAR KNOLLS, NJ 07927-1316
(201) 916-0735
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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