Individual provider · Type 1 NPI

Myung Park

Peer Specialist · Bronx, NY

NPI number 1710342472 Active

Practice location

3050 White Plains Road
Bronx, NY 10467

Fax (718) 944-7091

Mailing address

3050 White Plains Rd
Bronx, NY 10467-8124

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1710342472

Myung Park's National Provider Identifier is 1710342472, issued on Dec 23, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bronx, NY. The record was last updated on Dec 23, 2015.