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Elisha Park

NPI 1619884244 · on the registry since 2026

Practice

Address
652 Broadway
New York, NY 10012
Phone
(646) 847-1635
Clinicians at this address
16

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-27

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