MR. Jason Park is a student in an organized health care education training program in Stony Brook, 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. MR. Jason Park NPI is 1912318908. 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:
HOSPITAL DENTISTRY WESTCHESTER HL
RM 151
STONY BROOK, NY
ZIP 11794-711
Phone: (631) 444-2557
Fax: (631) 444-6013
The enumeration date for this NPI number is 5/13/2014 and was last updated on 11/20/2014.