Whalio Doctors

NPI 1588774921

Jia Park, MD

Practitioner Family Medicine Physician Bayside, NY

Practice location

Address
210-08 35th Avenue, Bayside, NY 11361-2979
Phone
(718) 229-4090
Fax
(718) 224-4131

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 214047 (NY)

Registry record

NPI
1588774921
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Aug 2006
Record last updated
14 Feb 2017

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.