Dr Juyeon Park, MD | |
101 Hospital Rd, Patchogue, NY 11772-4870 | |
(631) 687-2842 | |
Not Available |
Full Name | Dr Juyeon Park |
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Gender | Female |
Speciality | Surgery |
Location | 101 Hospital Rd, Patchogue, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1417452327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 67665 (Tennessee) | Secondary |
208600000X | Surgery | 333140 (New York) | Primary |
Entity Name | University Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809 |
Mailing Address | Practice Location Address |
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Dr Juyeon Park, MD 101 Hospital Rd, Patchogue, NY 11772-4870 Ph: () - | Dr Juyeon Park, MD 101 Hospital Rd, Patchogue, NY 11772-4870 Ph: (631) 687-2842 |
Thomas F. Gerold, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Phyllis Dr Ste B, Patchogue, NY 11772 Phone: 631-289-4700 Fax: 631-289-4718 | |
Badri Nath, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Phyllis Drive, Patchogue, NY 11772 Phone: 631-289-4700 Fax: 631-289-4718 | |
Dr. Gregory Ronald Zielinski, Surgery Medicare: Medicare Enrolled Practice Location: 157 E Woodside Ave, Patchogue, NY 11772 Phone: 631-475-1900 Fax: 631-475-1955 | |
Dr. Stephen H Green, MD Surgery Medicare: Medicare Enrolled Practice Location: 285 Sills Rd, Building 2 Suite A, Patchogue, NY 11772 Phone: 631-475-8846 Fax: 631-475-8860 | |
Trichy Arumugam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Phyllis Dr, Suite B, Patchogue, NY 11772 Phone: 631-289-4700 | |
Ravi Chandra Pulipati, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Medford Ave, Suite A, Patchogue, NY 11772 Phone: 631-569-5410 Fax: 631-569-5413 |