Park, Innjea
Park, Innjea is an individual health care provider with primary practice located at 970 Bard Ave , Staten Island NY 10301-3322. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Park, Innjea can be contacted via phone (718) 717-8033.Contact Information
Primary practice address
970 Bard Ave
Staten Island NY 10301-3322
Phone: (718) 717-8033
Fax: (718) 720-6931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | N006887 | New York |
Profile Details
| NPI number | 1174907992 |
|---|---|
| LBN Legal business name | Park, Innjea |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2015 |
| Last updated | Apr 12th, 2018 - about 8 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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