Timothy Park, DO is a student in an organized health care education training program in Flushing, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Timothy Park, DO NPI is 1487210084. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5645 MAIN ST
FLUSHING, NY
ZIP 11355-045
Phone: (516) 498-7471
The enumeration date for this NPI number is 5/20/2019 and was last updated on 5/20/2019.