| Sae Joun Park Pc | |
|
10 Mitchell Ave Binghamton NY 13903-1617 | |
| (607) 762-2020 | |
| (607) 762-2029 |
| Full Name | Sae Joun Park Pc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 10 Mitchell Ave, Binghamton, New York |
| Authorized Official Name and Position | Sae Joun Park (PRESIDENT) |
| Authorized Official Contact | 6077622020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sae Joun Park Pc 10 Mitchell Ave Binghamton NY 13903-1617 Ph: (607) 762-2020 | Sae Joun Park Pc 10 Mitchell Ave Binghamton NY 13903-1617 Ph: (607) 762-2020 |
| NPI Number | 1316260045 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316260045 | NPI | - | NPPES |
| 00395675 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 110896 (New York) | Primary |
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