Individual
DR. DANIEL S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
668 PARK PL, ELMIRA, NY 14901-2033
(607) 734-4582
(607) 734-4596
Mailing address
668 PARK PL, ELMIRA, NY 14901-2033
(607) 734-4582
(607) 734-4596
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005567-1
NY
213E00000X
Podiatrist
SC005555
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082488
—
NY
Enumeration date
07/25/2006
Last updated
12/17/2007
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