Individual provider · Type 1 NPI

Grace Park

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

NPI number 1134968787 Active

Practice location

14015B Sanford Ave Fl 2
Flushing, NY 11355-2557

Mailing address

20512 33rd Ave Apt 1
Bayside, NY 11361-1030

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 1134968787

Grace Park's National Provider Identifier is 1134968787, issued on May 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flushing, NY. The record was last updated on May 22, 2024.