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

Eunmi Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376189118

Eunmi Park is a Student in an Organized Health Care Education/Training Program in Watertown, New York. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

211 J.b Wise Plz
Watertown, NY 13601
Phone: (315) 782-7445
Fax: (315) 779-1184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 167 Polk St Ste 300, Watertown, NY 13601-2770 — (315) 777-9713

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P103873-01
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376189118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2019
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 15, 2020

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