Individual provider · Type 1 NPI

Milae Park, APN, WHNP-BC

Women's Health Nurse Practitioner · Staten Island, NY

NPI number 1508565599 Active

Practice location

1441 South Ave Ste 201
Staten Island, NY 10314-3780

Call (718) 697-0255 Map

Fax (718) 521-6151

Mailing address

94 Old Short Hills Rd Ste 403
Livingston, NJ 07039-5672

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102XF422011-01 (NY)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1508565599

Milae Park, APN, WHNP-BC's National Provider Identifier is 1508565599, issued on Feb 28, 2023. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Staten Island, NY. The record was last updated on Oct 1, 2026.