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

MS. Boma Park, MD

Individual provider Internal Medicine Physician · NPI 1730363623

MS. Boma Park, MD is an Internal Medicine in Mount Vernon, New York. Qualified in 1999, 27 years ago. Practices with Mount Vernon Neighborhood Health Center Inc, a 49-clinician group. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2007
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

107 W 4th St
Mount Vernon, NY 10550-4002
Phone: (914) 699-7200
Fax: (914) 699-0837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 003455 (NY)

Record details

NPI number1730363623
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2007
Last updated in NPPESFebruary 5, 2014
Mailing address107 West 4th Street, Mount Vernon, NY 10550

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Mount Vernon Neighborhood Health Center Inc — 49 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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