Park, Bum Y

Park, Bum Y is an sole proprietor health care provider with primary practice located at 4010 70Th St , Woodside NY 11377-2930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Park, Bum Y can be contacted via phone (718) 899-4600.

Contact Information

Primary practice address
4010 70Th St Woodside NY 11377-2930
Phone: (718) 899-4600
Fax: (718) 446-8302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 168409 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 168409 New York

Profile Details

NPI number 1750353124
LBN Legal business name Park, Bum Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Oct 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750353124 NPPES
New York MEDICAID 01008740

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