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

Mr. Jason Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912318908

Mr. Jason Park is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2014.

In the registry since
2014

Practice location Partly verified

Some contact details are missing from the federal record.

Hospital Dentistry Westchester Hl Rm 151
Stony Brook, NY 11794-8711
Phone: (631) 444-2557
Fax: (631) 444-6013
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 number1912318908
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESNovember 20, 2014

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