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

Nicholas Ryan Park

Individual provider Social Worker · NPI 1780466623

Nicholas Ryan Park is a Social Worker in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

510 Haight Ave Ste 203
Poughkeepsie, NY 12603-7205
Phone: (518) 245-6272
Fax: (518) 721-8343
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 117012 (NY)

Record details

NPI number1780466623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address510 Haight Ave Ste 203, Poughkeepsie, NY 12603-7205

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