Most Relevant Information
Provider Data
| NPI Number: | 1003539693 |
| Provider Name: | YEJI PARK |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2022 |
| Last Updated: | 09/20/2022 |
Provider Practice Location
535 5TH AVE FL 4
NEW YORK
NY
100178020
Practice Location Phone/Fax
| Phone: | 7189481900 |
| Fax: |
Provider Mailing Location
2 S CONSTITUTION DR
TAPPAN
NY
109831619
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |