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1053996090
SUNG IL PARK
WESTBURY, NY
NPI
1053996090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F342788)
Enumeration Date
2021-03-11
Last Update Date
2025-09-05
Business Address
-- SUNG IL PARK NP
941 GRAND BLVD
WESTBURY, NY 11590-6126
Phone number: 347-613-0039
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Mailing Address
-- SUNG IL PARK NP
941 GRAND BLVD
WESTBURY, NY 11590-6126
Phone number: 347-613-0039
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