Park, Daniel Do Young
Park, Daniel Do Young is an sole proprietor health care provider with primary practice located at 6019 Roosevelt Ave Suite #201, Woodside NY 11377-3537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Park, Daniel Do Young can be contacted via phone (718) 446-6579.Contact Information
Primary practice address
6019 Roosevelt Ave Suite #201
Woodside NY 11377-3537
Phone: (718) 446-6579
Fax: (718) 446-1213
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 209387 | New York |
Profile Details
NPI number | 1831239391 |
---|---|
LBN Legal business name | Park, Daniel Do Young |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 7th, 2007 |
Last updated | Sep 7th, 2017 - about 7 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 | 1831239391 | NPPES |
New York | MEDICAID | 02104149 |
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