Individual provider · Type 1 NPI

Katie K. Park

Registered Nurse · Long Island City, NY

NPI number 1063372803 Active

Practice location

2811 Queens Plz N Fl 5
Long Island City, NY 11101-4172

Call (718) 301-8300 Map

Mailing address

5051 205th St
Bayside, NY 11364-1043

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X79718201 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1063372803

Katie K. Park's National Provider Identifier is 1063372803, issued on Nov 14, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Long Island City, NY. The record was last updated on Nov 14, 2025.