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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BUM Y PARK, M.D.

Active Sole Proprietor

BUM Y PARK, M.D. is a General Practice healthcare provider located in WOODSIDE, New York. NPI 1750353124 is currently active in the NPPES registry. Verify at CMS.

General Practice · WOODSIDE, NY

Registration Details

NPI Number
1750353124
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2006 (20.564046915756 yrs)
Last Updated
Oct 21, 2024
Licenses
168409 (NY)
168409 (NY)
Sole Proprietor
Yes

Practice Information

Address
4010 70TH ST
WOODSIDE, NY, 113772930
Browse NY providers · Browse ZIP 11377
Phone
7188994600
Fax
7184468302
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in WOODSIDE, NY

Name Credential NPI
DR. MARGARET HAN DUGAN M.D. 1730456831
JOHN BENJAMIN EDWARDS 1497345136
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.