Park, Hoon Jae
Park, Hoon Jae is an sole proprietor health care provider with primary practice located at 1772 South Rd , Wappingers Falls NY 12590-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Park, Hoon Jae can be contacted via phone (845) 298-6060.Contact Information
Primary practice address
1772 South Rd
Wappingers Falls NY 12590-1361
Phone: (845) 298-6060
Fax: (845) 298-0901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 168538 | New York |
Profile Details
| NPI number | 1235135542 |
|---|---|
| LBN Legal business name | Park, Hoon Jae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Dec 11th, 2009 - about 15 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 | 1235135542 | NPPES |
| New York | Other | 497001 | MVP |
| New York | Other | 08F602 | MVP |
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