Park, Eunmi

Park, Eunmi is an individual health care provider with primary practice located at 211 J.B. Wise Plaza , Watertown NY 13601. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Park, Eunmi can be contacted via phone (315) 782-7445.

Contact Information

Primary practice address
211 J.B. Wise Plaza Watertown NY 13601
Phone: (315) 782-7445
Fax: (315) 779-1184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P103873-01

Profile Details

NPI number 1376189118
LBN Legal business name Park, Eunmi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2019
Last updated Sep 17th, 2020 - about 6 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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