Park, Christopher

Park, Christopher is an individual health care provider with primary practice located at 1275 York Ave , New York NY 10065-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Park, Christopher can be contacted via phone (212) 639-2000.

Contact Information

Primary practice address
1275 York Ave New York NY 10065-6007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 255412 New York

Profile Details

NPI number 1386786317
LBN Legal business name Park, Christopher
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Apr 7th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386786317 NPPES
California MEDICAID 00A838400

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