Park, Mija
Park, Mija is an sole proprietor health care provider with primary practice located at 4124 50Th St Apt 6E , Woodside NY 11377-4318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Park, Mija can be contacted via phone (347) 777-6130.Contact Information
Primary practice address
4124 50Th St Apt 6E
Woodside NY 11377-4318
Phone: (347) 777-6130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F359461 | New York |
Profile Details
| NPI number | 1396677407 |
|---|---|
| LBN Legal business name | Park, Mija |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2026 |
| Last updated | Jun 2nd, 2026 - about 5 months 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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