Individual
DR. ELIZABETH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-4308
(212) 305-6610
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-4308
(212) 305-6610
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
287287
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
06/16/2021
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