Individual
DR. MALSUK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6412
(607) 763-5854
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 763-6412
(607) 763-5854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
209345
NY
207P00000X
Emergency Medicine Physician
25MB06993400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8094501
—
NJ
Enumeration date
09/08/2005
Last updated
08/20/2015
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