Individual
MICHAEL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 E 14TH ST, NEW YORK, NY 10003-4284
(212) 979-4000
Mailing address
226 ORCHARD PARK, ALLENDALE, NJ 07401-1746
(201) 562-5269
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
309049
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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