Individual provider · Type 1 NPI

Min Jin Park

Medical Physician Assistant · Flushing, NY

NPI number 1164809604 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Call (718) 670-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X018276 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1164809604

Min Jin Park's National Provider Identifier is 1164809604, issued on May 5, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flushing, NY. The record was last updated on May 5, 2015.