Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANY C PARK, DMD
Active Sole ProprietorDR. SHANY C PARK, DMD is a Orthodontics healthcare provider located in NEW ROCHELLE, New York. NPI 1619067675 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · NEW ROCHELLE, NY
Registration Details
- NPI Number
- 1619067675
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2006 (19.801175928275 yrs)
- Last Updated
- Jul 8, 2007
- License
-
048040-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
77 QUAKER RIDGE RD#202NEW ROCHELLE, NY, 108042808Browse NY providers · Browse ZIP 10804
- Phone
- 9146365958
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in NEW ROCHELLE, NY
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN LEONARD HERZBERG | D.D.S. | 1528080413 |
| DR. YANIQUE DANIELLE LE-CADRE | D.M.D., M.S. | 1346309820 |
| DR. JON MICHAEL DEMATTEIS JR. | — | 1750583514 |
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.