Search › New York › 103TC0700X
Paul Park, PSY.D
NPI 1821417668 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1115 Broadway Fl 12
New York, NY 10010 - Phone
- (646) 504-3596
- Organisation at this address
- Gluck Psychology
Park Psychology Pllc
Kor Counseling, Llc.
Sports Rehab Nyc Corp
Fanny Tristan, Lcsw, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 81
Additional practice sites
- 170 Frelinghuysen Rd, Piscataway, NJ
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
103TC0700X - Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-12
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