Samuel Park Md, Pllc

LBN: Samuel Park Md, Pllc
Samuel Park Md, Pllc is an health care organization with primary practice located at 160 1St St Unit 551 , Mineola NY 11501-5025. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Samuel Park Md, Pllc can be contacted via phone (516) 619-8098, or through Park, Samuel J via phone (516) 619-8098.

Contact Information

Primary practice address
160 1St St Unit 551 Mineola NY 11501-5025
Phone: (516) 619-8098
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Samuel J Doctor of Medicine (MD)
Phone: (516) 619-8098

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1225587793
LBN Legal business name Samuel Park Md, Pllc
DBA Doing business as
Authorized official Park, Samuel J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2016
Last updated Jun 6th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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