Park, Ki Young
Park, Ki Young is an individual health care provider with primary practice located at 14229 37Th Ave Basement, Flushing NY 11354-4102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Park, Ki Young can be contacted via phone (718) 463-1133.Contact Information
Primary practice address
14229 37Th Ave Basement
Flushing NY 11354-4102
Phone: (718) 463-1133
Fax: (718) 463-6392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 200978 | New York |
Profile Details
| NPI number | 1346380581 |
|---|---|
| LBN Legal business name | Park, Ki Young |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Nov 18th, 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 | 1346380581 | NPPES |
| Other | P904065 | OXFORD |
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