Individual provider · Type 1 NPI

Bumsoo Park, MD

Family Medicine Physician · New York, NY

NPI number 1376924373 Active

Practice location

360 W 31st St Fl 3
New York, NY 10001-2861

Call (646) 987-3436 Map

Fax (646) 293-1441

Mailing address

700 Hicksville Rd
Bethpage, NY 11714-3471

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X4301108105 (MI)
Family Medicine Physician Primary 207Q00000X336914 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1376924373

Bumsoo Park, MD's National Provider Identifier is 1376924373, issued on Jun 15, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in New York, NY. The record was last updated on Jun 26, 2025.