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

Mrs. Mary Sue Park, MSOTR/L

Individual provider Pediatric Occupational Therapist · NPI 1770891400

Mrs. Mary Sue Park, MSOTR/L is a Pediatric Occupational Therapist in Bayside, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

42-23 Francis Lewis Blvd Ll 107
Bayside, NY 11361
Phone: (646) 465-3372
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 013648-1 (NY)

Record details

NPI number1770891400
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorNo
NPI enumeratedSeptember 15, 2010
Last updated in NPPESSeptember 15, 2010

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