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1124160882
TAI PARK
JAMAICA, NY
NPI
1124160882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NY 115914)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Dr. TAI PARK
8900 VAN WYCK EXPY
JAMAICA, NY 11418-2897
Phone number: 718-206-6290
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Mailing Address
Dr. TAI PARK
8900 VAN WYCK EXPY
JAMAICA, NY 11418-2897
Phone number: 718-206-6290
Copy
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