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: |