Park, Tae Keun
Park, Tae Keun is an individual health care provider with primary practice located at 300 Community Dr Department Of Emergency Medicine, Manhasset NY 11030-3816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Park, Tae Keun can be contacted via phone (516) 562-2925.Contact Information
Primary practice address
300 Community Dr Department Of Emergency Medicine
Manhasset NY 11030-3816
Phone: (516) 562-2925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 252574 | New York |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | A104548 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 25MA08835000 | New Jersey |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MA08835000 | New Jersey |
Profile Details
| NPI number | 1093940249 |
|---|---|
| LBN Legal business name | Park, Tae Keun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2009 |
| Last updated | Jul 21st, 2022 - about 3 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.
Popular Providers
-
Nguyen, Chi Thi
300 Community Drive , Manhasset NY 11030 -
Zhou, Qiuping
300 Community Dr , Manhasset NY 11030-3816 -
Su, Mark
300 Community Dr Department Of Emergency Medicine, Manhasset NY 11030-3816 -
Mital, Praveen K
300 Community Dr Department Of Emergency Medicine, Manhasset NY 11030-3816 -
Silver, David
300 Community Dr Department Of Emergency Medicine, Manhasset NY 11030-3816 -
Lau, Tse Chiang
300 Community Dr North Shore University Hospital Dept Of Em, Manhasset NY 11030-3816 -
Cirilli, Angela Rose
300 Community Dr , Manhasset NY 11030-3816 -
Raio, Christopher
Nsuh Dept Of Emergency Medicine 300 Community Drive, Manhasset NY 11030