Samuel Park Md, Pllc

NPI #1225587793 in Mineola, New York

Provider Information

NPI Number: 1225587793
Entity Type: Organization
Organization Name: Samuel Park Md, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Sep 26, 2016
Last Updated: Jun 6, 2019

Practice Location

Address: 160 1ST ST UNIT 551
City: Mineola
State: New York
ZIP Code: 11501-5025
Phone: (516) 619-8098

Authorized Official

Name: SAMUEL J PARK, MD
Title: PRESIDENT
Phone: (516) 619-8098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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