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

Kathleen Siapno Park, MD

Individual provider Pediatrics Physician · NPI 1558723254

Kathleen Siapno Park, MD is a Pediatrics Physician in Far Rockaway, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1288 Central Ave
Far Rockaway, NY 11691-3909
Phone: (718) 945-7150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 297604-1 (NY)

Record details

NPI number1558723254
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

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