Amy Park

NPI #1013684273 in Malverne, New York

Provider Information

NPI Number
1013684273
Entity Type
Individual
Name
Amy Park
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Aug 25, 2021
Last Updated
Aug 25, 2021

Practice Location

Address
188 GATES AVE
ZIP Code
11565-1924
Phone
(917) 770-2204

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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