Individual provider · Type 1 NPI
Bum Y. Park, MD
General Practice Physician · Woodside, NY
NPI number
1750353124
Active
Practice location
4010 70th St
Woodside, NY 11377-2930
Fax (718) 446-8302
Other practice locations
- 21150 45th Dr Fl 1, Bayside, NY 11361-3357 · (718) 229-1188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 168409 (NY) |
| General Practice Physician Primary | 208D00000X | 168409 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Woodside
About NPI 1750353124
Bum Y. Park, MD's National Provider Identifier is 1750353124, issued on Feb 1, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Woodside, NY. The record was last updated on Oct 21, 2024.