Park, Boma

Park, Boma is an individual health care provider with primary practice located at 107 W 4Th St , Mount Vernon NY 10550-4002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Park, Boma can be contacted via phone (914) 699-7200.

Contact Information

Primary practice address
107 W 4Th St Mount Vernon NY 10550-4002
Phone: (914) 699-7200
Fax: (914) 699-0837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 003455 New York

Profile Details

NPI number 1730363623
LBN Legal business name Park, Boma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Feb 5th, 2014 - about 11 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.

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