Search › New York › 207Q00000X
Bumsoo Park, MD
NPI 1376924373 · on the registry since 2015
Practice
- Address
- 360 W 31st St Fl 3
New York, NY 10001 - Phone
- (646) 987-3436
- Fax
- (646) 293-1441
- Organisation at this address
- Amerigroup New York, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MI, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-26
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