Park, Doo Sik
Park, Doo Sik is an individual health care provider with primary practice located at 40 44 82Nd Street , Elmhurst NY 11373-1305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Park, Doo Sik can be contacted via phone (718) 429-3800.Contact Information
Primary practice address
40 44 82Nd Street
Elmhurst NY 11373-1305
Phone: (718) 429-3800
Fax: (718) 429-4224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 136902 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 136902 | New York |
Profile Details
| NPI number | 1649333790 |
|---|---|
| LBN Legal business name | Park, Doo Sik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| 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 | 1649333790 | NPPES |
| New York | Other | 92F132 | EMPIRE BCBS |
| New York | MEDICAID | 00545120 | EMPIRE BCBS |
| New York | Other | 92F131 | EMPIRE BCBS |
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