DR. SAE-LYOUNG PARK


Address: 143-08 Roosevelt Ave., Apt L4, Flushing, NY 11354
Phone: 7189393220

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
N006468 NY Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY MEDICARE 1609141373 01
NY 03581459 05

Office Location

Street Address 143-08 ROOSEVELT AVE.
APT L4
City FLUSHING
State NY
Zip Code 11354

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City FLUSHING
Zip Code 11354

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Dataset Information

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.

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