Park, Amy Y
Park, Amy Y is an sole proprietor health care provider with primary practice located at 714 31St St , Union City NJ 07087-2427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Park, Amy Y can be contacted via phone (201) 863-7077.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26NJ01069700 | New Jersey |
Profile Details
| NPI number | 1205437456 |
|---|---|
| LBN Legal business name | Park, Amy Y |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2020 |
| Last updated | Nov 4th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205437456 | NPPES |
| New Jersey | Other | 26NJ01069700 | NJ APN LICENSE NUMBER |
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