Individual
ROYCE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E 64TH ST, NEW YORK, NY 10065-7471
(212) 838-9200
Mailing address
210 E 64TH ST, NEW YORK, NY 10065-7471
(212) 838-9200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
335773
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
06/17/2025
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