Dr Richard Park, MD | |
175 Community Dr, Great Neck, NY 11021-5502 | |
(516) 465-1900 | |
(516) 465-1830 |
Full Name | Dr Richard Park |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 175 Community Dr, Great Neck, 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 |
---|---|---|---|
1114985298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 224603 (New York) | Primary |
Entity Name | City Medical Of Upper East Side Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Park, MD Lijmc-dept Of Emergency Medicine, 270-05 76th Avenue, New Hyde Park, NY 11040 Ph: (718) 470-7500 | Dr Richard Park, MD 175 Community Dr, Great Neck, NY 11021-5502 Ph: (516) 465-1900 |
Dr. Joseph Mirakhor, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 43 Bellingham Ln, Great Neck, NY 11023 Phone: 516-482-1866 | |
Dr. Caroline Rose Via, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Northern Blvd, Great Neck, NY 11021 Phone: 516-829-2273 Fax: 516-829-2272 | |
Alex Delman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Northern Blvd, Great Neck, NY 11021 Phone: 516-829-2273 Fax: 516-829-2272 | |
Dr. Daniel Benilevi, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Middle Neck Rd, Great Neck, NY 11021 Phone: 516-466-3311 Fax: 516-466-9898 |