DR. SAE-LYOUNG PARK (NPI# 1609141373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609141373 |
Entity Type | Individual |
Full Name | DR. SAE-LYOUNG PARK |
Credential | D.P.M. |
Practice Address |
143-08 Roosevelt Ave. Apt L4 Flushing NY 11354 |
Practice Telephone | 7189393220 |
Practice Fax Number | 7189393440 |
Mailing Telephone | 7189393220 |
Mailing Fax Number | 7189393440 |
Enumeration Date | 2012-03-14 |
Last Update Date | 2015-05-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N006468 | NY | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | MEDICARE | 1609141373 | 01 |
NY | 03581459 | 05 |
Street Address |
143-08 ROOSEVELT AVE. APT L4 |
City | FLUSHING |
State | NY |
Zip Code | 11354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
Find all providers in zip 11354 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841713567 | Saman Agharahmanian | Podiatrist | 153-56 77ave #2, Flushing, NY 11367 | 2017-07-25 |
1255868667 | Akiva Kenigsberg | Podiatrist | 7101 147th St # 401b, Flushing, NY 11367-2003 | 2017-05-16 |
1063947646 | Shing Cheung Yuen | Podiatrist | 1810 College Point Blvd, Flushing, NY 11356-2221 | 2017-04-20 |
1497150023 | Judah M Gomberg | Podiatrist | 14725 72nd Ave Apt A, Flushing, NY 11367-2543 | 2014-10-24 |
1093030199 | Shweta Raina | Podiatrist | 4323 Colden St, Apt 10n, Flushing, NY 11355-5901 | 2010-03-31 |
1598953374 | Lenny Ramirez Dpm PC | Podiatrist | 16918 26th Ave, Flushing, NY 11358-1106 | 2007-10-05 |
1023190295 | Diabetic Foot Care Services - A Division of Prohealth Care Assoc, LLP | Podiatrist | 72-03 164th St, Flushing, NY 11365-4221 | 2006-10-19 |
1003829268 | Henry Wu | Podiatrist | 133-38 41st Road, Suite Co1, Flushing, NY 11355-3782 | 2006-08-15 |
1134196942 | Rahul Patel | Podiatrist | 14846 61st Rd, Flushing, NY 11367-1206 | 2006-03-01 |
1184005936 | Andrew Olson | Podiatrist | 5645 Main St, Flushing, NY 11355-5045 | 2015-06-17 |
Find all providers in FLUSHING |
Please comment or provide details below to improve the information on DR. SAE-LYOUNG PARK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.