SearchNew York122300000X

Ji Park, DDS

NPI 1861624405 · on the registry since 2009

Practice

Address
25-37 Broadway
Astoria, NY 11106
Phone
(718) 786-2631

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-12

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