Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Park Place Medical PC

Organization Gastroenterology Physician · NPI 1932389731

Park Place Medical PC is a Gastroenterology Physician in Bayside, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2912 210th Pl
Bayside, NY 11360-2433
Phone: (718) 773-2011
Fax: (718) 773-3728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 191343 (NY)

Record details

NPI number1932389731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Mansour — President · (718) 773-2011
NPI enumeratedNovember 8, 2007
Last updated in NPPESNovember 8, 2007
Mailing address910 Park Pl, Suite 1-B, Brooklyn, NY 11216-4000

Other providers in Bayside