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SOOANN PARK MD NPI 1659484905


NPI Information

NPI: 1659484905
Provider Name: SOOANN PARK, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
3245 NOSTRAND AVE KINGS HWY CENTER
BROOKLYN, NY
ZIP 11229
Phone: (718) 615-3777
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Sooann Park, MD is an obstetrics gynecology in Brooklyn, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Sooann Park, MD NPI is 1659484905. 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:

3245 NOSTRAND AVE KINGS HWY CENTER
BROOKLYN, NY
ZIP 11229
Phone: (718) 615-3777
Fax: (718) 615-3481

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology120117NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
168364100MEDICARE ID-TYPE UNSPECIFIED
200223383MEDICAIDNEW YORK
3C11848MEDICARE UPIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.