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

Grace Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134968787

Grace Park is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

14015B Sanford Ave Fl 2
Flushing, NY 11355-2557
Phone: (718) 358-8288
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134968787
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address20512 33rd Ave Apt 1, Bayside, NY 11361-1030

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