| (dba) Dr. Park's Comprehensive Pain Clinic | |
|
142-29 37 Ave. (basement) Flushing NY 11354 | |
| (718) 463-1133 | |
| (718) 463-6392 |
| Full Name | (dba) Dr. Park's Comprehensive Pain Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 142-29 37 Ave., Flushing, New York |
| Authorized Official Name and Position | Ki Young Park (PRESIDENT) |
| Authorized Official Contact | 7184631133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| (dba) Dr. Park's Comprehensive Pain Clinic 142-29 37 Ave. (basement) Flushing NY 11354 Ph: (718) 463-1133 | (dba) Dr. Park's Comprehensive Pain Clinic 142-29 37 Ave. (basement) Flushing NY 11354 Ph: (718) 463-1133 |
| NPI Number | 1356580039 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 06/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356580039 | NPI | - | NPPES |
| P-904065 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 200978 (New York) | Primary |
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