Individual provider · Type 1 NPI

Mi Na Park, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1124705678 Active

Practice location

4422 3rd Ave
Bronx, NY 10457-2594

Call (718) 960-6202 Map

Mailing address

2321 Belmont Ave Apt 6D
Bronx, NY 10458-8395

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124705678

Mi Na Park, MD's National Provider Identifier is 1124705678, issued on Jun 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jul 23, 2023.