Individual
MISS CHOHEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
(718) 961-0666
Mailing address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
(718) 961-0666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349824
NY
Other
Enumeration date
08/15/2022
Last updated
06/13/2024
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