NPI 1588774921
Jia Park, MD
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
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.