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Search › New York › Internal Medicine Physician

Samuel Park, M.D

NPI 1053607952 · on the registry since 2011 · sole proprietor

Practice

Address
160 1st St Unit 551
Mineola, NY 11501
Phone
(516) 619-8098
Organisation at this address
Samuel Park Md, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Internal Medicine Physician
207R00000X
Also registered as
Internal Medicine Physician
Pediatrics Physician
Pediatrics Physician
Internal Medicine Physician
Internal Medicine Physician
Licence states on file
IN, WV, NY, CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York