Individual
JADE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 UNION SQ E STE 5H, NEW YORK, NY 10003-3314
(212) 844-6897
Mailing address
108 BELMONT CIR, SYOSSET, NY 11791-5733
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
125077867
IL
2084N0400X
Neurology Physician
Primary
337317
NY
Other
Enumeration date
04/02/2021
Last updated
06/18/2025
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