Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERRENCE PARK
Active Sole ProprietorTERRENCE PARK is a Foot & Ankle Surgery Podiatrist healthcare provider located in CLIFFSIDE PARK, New Jersey. NPI 1063866689 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · CLIFFSIDE PARK, NJ
Registration Details
- NPI Number
- 1063866689
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2016 (10.31118821073 yrs)
- Last Updated
- Jul 18, 2022
- License
-
N007212-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
293 MARION AVE # 2CLIFFSIDE PARK, NJ, 070102614Browse NJ providers · Browse ZIP 07010
- Phone
- 2019160735
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in CLIFFSIDE PARK, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. KENYA A LAZOVIK | DPM | 1245677855 |
| DR. RAI YEON KANG | DPM | 1699152181 |
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.