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

Chan Soo Park, MD

Individual provider Neurology Physician · NPI 1861485484

Chan Soo Park, MD is a Neurology Physician in Poughkeepsie, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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

205 S Ave Ste 103
Poughkeepsie, NY 12601-4818
Phone: (845) 454-2360
Fax: (845) 454-2361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 127160 (NY)

Record details

NPI number1861485484
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESJuly 13, 2026
Mailing address205 South Ave, Suite 103, Poughkeepsie, NY 12601-4818

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