Individual provider · Type 1 NPI

Youngmin Park

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

NPI number 1457054447 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Call (212) 305-6100 Map

Mailing address

1959 NE Pacific Street Box 357134
Seattle, WA 98195-0001

Other practice locations

  • 1959 NE Pacific Street Box 357134, Seattle, WA 98195-0001 · (619) 587-9820

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X70115953 (WA)
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 1457054447

Youngmin Park's National Provider Identifier is 1457054447, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jul 2, 2026.