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

Hyun Sung Park

Individual provider Physical Therapist · NPI 1861766628

Hyun Sung Park is a Physical Therapist in Private Practice in Hicksville, New York. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

105 Newbridge Rd
Hicksville, NY 11801-3901
Phone: (845) 827-3469
Fax: (516) 740-2803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 031759 (NY)

Record details

NPI number1861766628
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 25, 2012
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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