DR. DANIEL DO YOUNG PARK (NPI# 1831239391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831239391 |
| Entity Type | Individual |
| Full Name | DR. DANIEL DO YOUNG PARK |
| Other Name | DR. DO YOUNG PARK |
| Credential | DO |
| Practice Address |
6019 Roosevelt Ave Suite #201 Woodside NY 11377-3537 |
| Practice Telephone | 7184466579 |
| Practice Fax Number | 7184461213 |
| Mailing Telephone | 7184466579 |
| Mailing Fax Number | 7184461213 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 209387 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02104149 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1740739531 | Daniel Ingun Park | Physical Therapist | 4214 162nd St Fl 1, Flushing, NY 11358-4156 | 2016-09-22 |
| 1649605262 | Daniel Y Park | Physical Therapist | 1001 Kamokila Blvd Ste 127, Kapolei, HI 96707-2097 | 2013-09-13 |
| 1699054577 | Daniel Ilwoo Park | Massage Therapist | 15433 Country Club Dr, Unit A206, Mill Creek, WA 98012-1260 | 2011-08-10 |
| 1447581186 | Daniel Jinsang Park | Dentist | 6777 Westminster Blvd Ste C, Westminster, CA 92683-8057 | 2010-01-20 |
| 1518197938 | Daniel Park | Emergency Medicine | 3300 Douglas Blvd Ste 405, Roseville, CA 95661-3841 | 2009-07-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1124201801 | Daniel Park | Psychiatry & Neurology | 1707 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2353 | 2007-12-17 |
| 1598882029 | Daniel I Park | Denturist | 30816 Pacific Hwy S, Federal Way, WA 98003-4902 | 2007-03-22 |
| 1598803116 | Daniel C Park | Dentist | 1202 Beaumont Ave, Beaumont, CA 92223-1506 | 2007-02-03 |
| Street Address |
6019 ROOSEVELT AVE SUITE #201 |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881965804 | Queens Medical South PC | Family Medicine | 3939 63rd St, Woodside, NY 11377-3648 | 2012-01-23 |
| 1922241397 | Mark I Congress | Family Medicine | 45 Roberta Drive, Woodside, CA 94062 | 2009-04-14 |
| 1124205570 | Woodside Medical Care P.c | Family Medicine | 6019 Roosevelt Ave. 201, Woodside, NY 11377-3537 | 2008-01-29 |
| 1619013463 | Saulius J Skeivys | Family Medicine | 5718 Woodside Avenue, Woodside, NY 11377-3444 | 2007-01-29 |
| 1063570018 | Joseph A Zammuto | Family Medicine | 213 Crest Rd, Woodside, CA 94062-2310 | 2006-12-04 |
| 1619040607 | Gloria Dunnder Leacock | Family Medicine | 3096 51st St, Woodside, NY 11377-1457 | 2006-11-16 |
| 1508874819 | Alexander V. Baldonado | Family Medicine | 6317 Roosevelt Ave, Woodside, NY 11377-3641 | 2006-08-03 |
| 1205889201 | Mirela Carnaru | Family Medicine | 5025 65th St, Woodside, NY 11377-5810 | 2006-05-18 |
| 1447864764 | Aka Medical Wellness and Aesthetics LLC | Family Medicine | 5801 Woodside Ave, Woodside, NY 11377-3437 | 2020-09-03 |
| 1497245187 | Joseph A Zammuto | Family Medicine | 213 Crest Rd, Woodside, CA 94062 | 2018-05-17 |
| Find all providers in WOODSIDE | ||||
Please comment or provide details below to improve the information on DR. DANIEL DO YOUNG 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.