Individual provider · Type 1 NPI
Justina Park
Acute Care Nurse Practitioner · New York, NY
NPI number
1033090345
Active
Practice location
622 W 168th St
New York, NY 10032-3720
Mailing address
60 Chaffee Cir
Norwood, NJ 07648-1248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 433409 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1033090345
Justina Park's National Provider Identifier is 1033090345, issued on Sep 11, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Sep 11, 2025.