Carol Park
NPI #1710387717 in Oakland Gardens, New York
Provider Information
- NPI Number
- 1710387717
- Entity Type
- Individual
- Name
- Carol Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 26, 2014
- Last Updated
- Aug 26, 2014
Practice Location
- Address
- 5711 225TH ST
- Address 2
- 1 FL
- City
- Oakland Gardens
- State
- New York
- ZIP Code
- 11364-2042
- Phone
- (917) 399-2221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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