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

Brian Park, MD

Individual provider Psychiatry Physician · NPI 1104935998

Brian Park, MD is a Psychiatry in Kingston, New York. Graduated from Albany Medical College of Union University in 1996, 30 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

465 Broadway
Kingston, NY 12401-4627
Phone: (845) 340-0244
Fax: (845) 340-0141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 202639-1 (NY)

Record details

NPI number1104935998
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESAugust 6, 2008
Mailing address465 Broadway, Kingston, NY 12401-4627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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