Individual provider · Type 1 NPI

David Junewon Park, PA-C

Medical Physician Assistant · Bronx, NY

NPI number 1972000677 Active

Practice location

1825 Eastchester Rd
Bronx, NY 10461-2301

Call (718) 904-2000 Map

Mailing address

5235 Buford Hwy NE
Doraville, GA 30340-1106

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1140276
Physician Assistant 363A00000X8743 (GA)
Medical Physician Assistant Primary 363AM0700X024237 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1972000677

David Junewon Park, PA-C's National Provider Identifier is 1972000677, issued on Apr 9, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Oct 20, 2020.