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Search › New York › 171100000X

Sung Park

NPI 1558927913 · on the registry since 2019 · sole proprietor

Practice

Address
22001 Jamaica Ave Fl 2
Queens Village, NY 11428
Phone
(646) 644-7580
Organisation at this address
Rta Hth Inc.
Montefiore Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-11

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