INNJEA S PARK

WYCKOFF HEIGHTS MEDICAL SERVICES P C

Dr INNJEA S PARK is a male medical professional, specializing in Podiatry. He graduated in 2015 from New York College Of Podiatric Medicine.

Contact

WYCKOFF HEIGHTS MEDICAL SERVICES P C

374 STOCKHOLM ST
BROOKLYN
NY
112374006

Tel: 7189636485

INNJEA S PARK Information

Npi 1174907992
Pac Id 2860742020
Professional Enrollment Id I20180910000684
Last Name PARK
First Name INNJEA
Middle Name S
Suffix
Gender M
Credential
Medical School Name NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year 2015
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WYCKOFF HEIGHTS MEDICAL SERVICES P C
Group Practice Pac Id 4880583897
Number Of Group Practice Members 34
Line 1 Street Address 374 STOCKHOLM ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BROOKLYN
State NY
Zip Code 112374006
Phone Number 7189636485
Hospital Affiliation Ccn 1 330221
Hospital Affiliation Lbn 1 WYCKOFF HEIGHTS MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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