Park, Chan Soo
Park, Chan Soo is an individual health care provider with primary practice located at 205 South Ave Suite 103, Poughkeepsie NY 12601-4818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Park, Chan Soo can be contacted via phone (845) 454-2360.Contact Information
Primary practice address
205 South Ave Suite 103
Poughkeepsie NY 12601-4818
Phone: (845) 454-2360
Fax: (845) 454-2361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 127160 | New York |
Profile Details
| NPI number | 1861485484 |
|---|---|
| LBN Legal business name | Park, Chan Soo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1861485484 | NPPES |
| New York | MEDICAID | 00503613 |
Popular Providers
-
Amodeo, Katherine D
241 North Rd , Poughkeepsie NY 12601-1154 -
Nierenburg, Hida Del Carmen
21 Reade Pl Ste 1100 , Poughkeepsie NY 12601-3986 -
Wright, Paul
21 Reade Pl Ste 1100 , Poughkeepsie NY 12601-3986 -
Alampur, Uma S
207 Washington St Ste 201 , Poughkeepsie NY 12601-8112 -
Castaneda, Glenn Y
21 Fox St. Suite 102, Poughkeepsie NY 12601-4723 -
Steeves, Thomas D
21 Reade Pl Ste 1100 , Poughkeepsie NY 12601-3986 -
Kumar, Keerthana Kuppamma
1 Columbia St Ste 302 , Poughkeepsie NY 12601-3924 -
Koszer, Samuel E.
21 Fox Street Suite 102, Poughkeepsie NY 12601-4723