Individual provider · Type 1 NPI

Heysook Park Wanta

Gastroenterology Physician · New York, NY

NPI number 1164964680 Active

Practice location

1315 York Ave
New York, NY 10021-5304

Call (212) 746-5077 Map

Mailing address

568 Ashford Ave
Ardsley, NY 10502-1602

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician Primary 207RG0100XF339118 (NY)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1164964680

Heysook Park Wanta's National Provider Identifier is 1164964680, issued on Nov 15, 2016. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in New York, NY. The record was last updated on Oct 14, 2021.