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

Yongtack Park

Individual provider Physical Therapist · NPI 1144576331

Yongtack Park is a Physical Therapist in Fort Lee, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

800 Palisade Ave #308
Fort Lee, NJ 07024
Phone: (347) 334-6860
Fax: (347) 602-8662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 017697 (NY)

Record details

NPI number1144576331
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2012
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address800 Palisade Avenue, 308, Fort Lee, NJ 07024

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