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

Samuel Park MD, PLLC

Organization Internal Medicine Physician · NPI 1225587793

Samuel Park MD, PLLC is an Internal Medicine Physician in Mineola, New York. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

160 1st St Unit 551
Mineola, NY 11501-5025
Phone: (516) 619-8098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1225587793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Park — President · (516) 619-8098
NPI enumeratedSeptember 26, 2016
Last updated in NPPESJune 6, 2019
Mailing address160 1st St Unit 551, Mineola, NY 11501-5025

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