Samuel Park Md, Pllc | |
160 1st St Unit 551 Mineola NY 11501-5025 | |
(516) 619-8098 | |
Not Available |
Full Name | Samuel Park Md, Pllc |
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Speciality | Internal Medicine |
Location | 160 1st St Unit 551, Mineola, New York |
Authorized Official Name and Position | Samuel J Park (PRESIDENT) |
Authorized Official Contact | 5166198098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Samuel Park Md, Pllc 160 1st St Unit 551 Mineola NY 11501-5025 Ph: (516) 619-8098 | Samuel Park Md, Pllc 160 1st St Unit 551 Mineola NY 11501-5025 Ph: (516) 619-8098 |
NPI Number | 1225587793 |
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Provider Enumeration Date | 09/26/2016 |
Last Update Date | 06/06/2019 |
Identifier | Type | State | Issuer |
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1225587793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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