Michelle Park
Michelle Park is a Specialist in Bayside, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
21510 Northern Blvd Ste 202Bayside, NY 11361-3497
Phone: (718) 631-1034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1811721434 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 27, 2024 |
| Last updated in NPPES | August 29, 2024 |
| Certification date | August 29, 2024 |
| Mailing address | 21410 15th Ave Apt 2e, Bayside, NY 11360-2217 |
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