Individual
DR. LAVINIA E. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
141 BROADWAY, NEWBURGH, NY 12550-6204
(845) 568-5260
Mailing address
141 BROADWAY, NEWBURGH, NY 12550
(845) 568-5260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
243921
NY
Other
Enumeration date
06/03/2008
Last updated
06/09/2011
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