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

Hae Kyung Park

Individual provider Specialist · NPI 1346580008

Hae Kyung Park is a Specialist in College Point, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

12112 Powells Cove Blvd # A
College Point, NY 11356-1259
Phone: (917) 573-5879
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 679550 (NY)

Record details

NPI number1346580008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2013
Last updated in NPPESFebruary 18, 2013
Mailing address12112 Powells Cove Blvd # A, College Point, NY 11356-1259

Other providers in College Point