NPI 1124160882

Tai Park

Practitioner Anatomic Pathology & Clinical Pathology Physician Jamaica, NY

Practice location

Address: 8900 van Wyck Expy, Jamaica, NY 11418-2897
Phone: (718) 206-6290

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 115914 (NY)

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Registry record

NPI: 1124160882
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.