Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL JOON PARK, M.D.
Active Sole ProprietorDR. SAMUEL JOON PARK, M.D. is a Internal Medicine healthcare provider located in MINEOLA, New York. NPI 1053607952 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · MINEOLA, NY
Registration Details
- NPI Number
- 1053607952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2011 (14.964741533657 yrs)
- Last Updated
- Nov 12, 2021
- Licenses
-
01081067A (IN)28444 (WV)285562 (NY)CDRH.0057133 (CO)CDRH.0057133 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
160 1ST ST UNIT 551MINEOLA, NY, 115015025Browse NY providers · Browse ZIP 11501
- Phone
- 5166198098
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in MINEOLA, NY
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN JOHN CURLEY JR. | MD | 1255334876 |
| DR. PURNIMA POPLI | M.D. | 1871585612 |
| DR. MARLENE MARTINS LOBATO | MD | 1003808874 |
| DR. GREGORY MICHAEL SPISAK | MD | 1528050358 |
| DR. THOMAS ANTHONY RUBIN | MD | 1740272343 |
| DR. NICHOLAS BERBARI | MD | 1124007182 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.