Park, Sung Soo

Park, Sung Soo is an individual health care provider with primary practice located at 140 Old Orangeburg Rd , Orangeburg NY 10962-1157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Park, Sung Soo can be contacted via phone (845) 680-7867.

Contact Information

Primary practice address
140 Old Orangeburg Rd Orangeburg NY 10962-1157
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 132387 New York

Profile Details

NPI number 1477619237
LBN Legal business name Park, Sung Soo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477619237 NPPES
New York Other 132387 M. D.

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