SearchNew York235Z00000X

Jodie Park, SLP

NPI 1720218357 · on the registry since 2009 · sole proprietor

Practice

Address
220 5th Ave
Apt 3
Brooklyn, NY 11215
Phone
(678) 612-6863

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
GA, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-30

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