Organization
WYCKOFF HEIGHTS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INNJEA S PARK DPM (PODIATRY)
(917) 796-1693
Entity
Organization
Contact information
Practice address
987 PUTNAM AVE APT 3A, BROOKLYN, NY 11221-4295
(917) 796-1693
Mailing address
987 PUTNAM AVE APT 3A, BROOKLYN, NY 11221-4295
(917) 796-1693
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
N004232
NY
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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