Individual provider · Type 1 NPI

Innjea Park, DPM

Foot & Ankle Surgery Podiatrist · Staten Island, NY

NPI number 1174907992 Active

Practice location

1042 Huguenot Ave
Staten Island, NY 10312-4315

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XN006887 (NY)

Foot & Ankle Surgery Podiatrist: Definition to come...

5 other providers at this address

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About NPI 1174907992

Innjea Park, DPM's National Provider Identifier is 1174907992, issued on Jul 10, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Staten Island, NY. The record was last updated on May 7, 2025.