Yohan Park, MD

Pediatrics Physician · Bayside, NY

Individual Active NPI

NPI number 1730220666

Practice location

4223 212TH St Unit 1a
Bayside, NY 11361-2979
Phone
(718) 229-7337
Fax
(718) 229-7333

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NPI record

NPI
1730220666
Entity type
Individual (Type 1)
Enumeration date
February 12, 2007
Last updated
January 28, 2022
Certified
January 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 236369 NY

Mailing address

4223 212TH St Unit 1b
Bayside, NY 11361-2979
Phone
(718) 229-7337
Fax
(718) 229-7333

About Dr. Park

Yohan Park, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 4223 212TH St Unit 1a, Bayside, NY 11361-2979. The NPI number 1730220666 was assigned on February 12, 2007 and the record was last updated on January 28, 2022.

Dr. Park lists a license in the registry: #236369 (NY) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Yohan Park, MD?

The NPI number is 1730220666.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (718) 229-7337.

Where is Dr. Park located?

4223 212TH St Unit 1a, Bayside, NY 11361-2979.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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