Individual provider · Type 1 NPI
Sae-Lyoung Park, D.P.M.
Foot & Ankle Surgery Podiatrist · Flushing, NY
NPI number
1609141373
Active
Practice location
143-08 Roosevelt Ave., Apt L4
Flushing, NY 11354
Fax (718) 939-3440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | N006468 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1609141373
Sae-Lyoung Park, D.P.M.'s National Provider Identifier is 1609141373, issued on Mar 14, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Flushing, NY. The record was last updated on Aug 29, 2023.