Eleanor Park
Eleanor Park is a Physician Assistant in Fort Drum, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
11050 Mt Belvedere BlvdFort Drum, NY 13602-2603
Phone: (315) 772-2778
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1538852017 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 31, 2023 |
| Last updated in NPPES | July 16, 2024 |
| Certification date | July 16, 2024 |
| Mailing address | 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 |
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