Susie Park M.D.

NPI 1114177300 - Radiology - 2085P0229X

NPI Details
NPI 1114177300
Gender Female
Enumeration Date 09/24/2008
Last Updated 10/22/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
43 NEW SCOTLAND AVE
DEPT OF RADIOLOGY MC 113
ALBANY NY, 12208-3412, US
Phone (518) 262-3722
Fax
Business Location
711 TROY SCHENECTADY RD
SUITE 203
LATHAM NY, 12110-2442, US
Phone (518) 782-3700
Fax (518) 782-3799
Toxanomy
Taxonomy Code 2085P0229X
License State New York
License Number 267437
Remove 1114177300 NPI Number
 

According to our database, Dr. Susie Park M.D. NPI is 1114177300, taxonomy code is 2085P0229X and license number is 267437, license state is located at New York. Susie Park M.D. physically located at 43 New Scotland Ave, Albany NY, 12208-3412. NPI Number Susie Park M.D. has the Individual type.

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1114177300 NPI number is provided on an as is basis without warranty of any kind. 1114177300 is maintained by the National Plan & Provider Enumeration System. The contents of Susie Park M.D. are for informational purposes only.