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1053996090
SUNG IL PARK
BRONX, 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
2021-03-11
Business Address
SUNG IL PARK NP
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7285
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Mailing Address
SUNG IL PARK NP
1434 WILLIAMSBRIDGE RD FL 2
BRONX, NY 10461-2507
Phone number: 718-618-0401
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