HEYSOOK PARK WANTA

NEW YORK, NY
NPI1164964680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: NY  F339118)
Enumeration Date2016-11-15
Last Update Date2021-10-14
Business Address
HEYSOOK PARK WANTA
1315 YORK AVE
NEW YORK, NY 10021-5304
Phone number: 212-746-5077
Mailing Address
HEYSOOK PARK WANTA
568 ASHFORD AVE
ARDSLEY, NY 10502-1602
Phone number: 917-843-5667
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