Park, Hoon Jae

Park, Hoon Jae is an sole proprietor health care provider with primary practice located at 1772 South Rd , Wappingers Falls NY 12590-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Park, Hoon Jae can be contacted via phone (845) 298-6060.

Contact Information

Primary practice address
1772 South Rd Wappingers Falls NY 12590-1361
Phone: (845) 298-6060
Fax: (845) 298-0901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 168538 New York

Profile Details

NPI number 1235135542
LBN Legal business name Park, Hoon Jae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Dec 11th, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235135542 NPPES
New York Other 497001 MVP
New York Other 08F602 MVP

Popular Providers