Amanda J Park

NPI #1285104331 in Hewlett, New York

Provider Information

NPI Number: 1285104331
Entity Type: Individual
Name: Amanda J Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Dec 3, 2018
Last Updated: Dec 3, 2018

Practice Location

Address: 291 CHANNON RD
City: Hewlett
State: New York
ZIP Code: 11557-2701
Phone: (516) 287-7092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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