Woodside Medical Care P.c

NPI #1124205570 in Woodside, New York

Provider Information

NPI Number: 1124205570
Entity Type: Organization
Organization Name: Woodside Medical Care P.c
Primary Specialty: Family Medicine
Enumeration Date: Jan 29, 2008
Last Updated: Dec 27, 2018

Practice Location

Address: 6019 ROOSEVELT AVE. 201
City: Woodside
State: New York
ZIP Code: 11377-3537
Phone: (718) 446-6579

Authorized Official

Name: DR. DANIEL DO YOUNG PARK, D.O
Title: DIRECTOR
Phone: (718) 446-6579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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