JIA PARK

BAYSIDE, NY
NPI1588774921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  214047)
Enumeration Date2006-08-30
Last Update Date2017-02-14
Business Address
Dr. JIA PARK M.D
210-08 35TH AVENUE
BAYSIDE, NY 11361-2979
Phone number: 718-229-4090
Mailing Address
Dr. JIA PARK M.D
210-08 35TH AVENUE
BAYSIDE, NY 11361-2979
Phone number: 718-229-4090