EUNICE PARK MD PLLC NPI 1093396137

NPI Information

  • NPI: 1093396137
  • Provider Name: EUNICE PARK MD PLLC
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Organization
  • CLIA Number: 33D2305717
  • Address: 428 JERICHO TPKE
    SYOSSET, NY
    ZIP 11791
  • Phone: (516) 614-1880

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NPI Details

EUNICE PARK MD PLLC is a facial plastic surgery otolaryngology in Syosset, NY. The provider is an otolaryngologist who specializes in facial plastic surgery. EUNICE PARK MD PLLC NPI is 1093396137. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

428 JERICHO TPKE
SYOSSET, NY
ZIP 11791-509
Phone: (516) 614-1880
Fax: (516) 654-8585

The provider's authorized official is Eunice E Park .
The authorized official title is Owner and has the following contact phone number (516) 614-1880.

The CLIA number assigned to this NPI record is 33D2305717 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2021 and was last updated on 4/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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