Organization
LISA PARK, M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA PARK M.D. (SOLE OWNER)
(212) 263-2573
Entity
Organization
Contact information
Practice address
530 1ST AVE, HCC SUITE 3B, NEW YORK, NY 10016-6402
(212) 263-2573
(212) 263-2574
Mailing address
530 1ST AVE, HCC SUITE 3B, NEW YORK, NY 10016-6402
(212) 263-2573
(212) 263-2574
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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