Individual
HYUN DONG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3511 FARRINGTON ST, FLUSHING, NY 11354-2826
(718) 886-7014
(516) 437-4167
Mailing address
PO BOX 27842, NEW YORK, NY 10087-7842
(718) 670-1651
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
113679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02533815
—
NY
Enumeration date
06/17/2006
Last updated
04/02/2008
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