Sae Joun Park (NPI# 1720045313, PAC ID# 1254527765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720045313 |
| PAC ID by PECOS | 1254527765 |
| Professional Enrollment ID | I20101123000833 |
| Full Name | Sae Joun Park |
| Address |
10 Mitchell Ave Binghamton NY 13903-1678 |
| Gender | M |
| Medical School | COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1964 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330394 | UNITED HEALTH SERVICES HOSPITALS, INC |
| 330011 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10 Mitchell Ave, Binghamton, NY 13903-1678 |
| Street Address |
10 MITCHELL AVE |
| City | BINGHAMTON |
| State | NY |
| Zip | 13903-1678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex Y Factourovich | Psychiatry | 10 Mitchell Ave, Suite 24, Binghamton, NY 13903-1617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory P Scagnelli | Gastroenterology | United Medical Associates PC | 40 Mitchell Ave, Binghamton, NY 13903 |
| Leslie Bank | Gastroenterology | United Medical Associates PC | 40 Mitchell Ave, Binghamton, NY 13903 |
| Zoryana Kravets | Nurse Practitioner | United Medical Associates PC | 40 Mitchell Ave, Binghamton, NY 13903 |
| Mark V Shumeyko | Gastroenterology | United Medical Associates PC | 40 Mitchell Ave, Binghamton, NY 13903 |
| Amine Hila | Gastroenterology | United Medical Associates PC | 40 Mitchell Ave, Binghamton, NY 13903 |
| Martha E Langhorne | Nurse Practitioner | United Medical Associates PC | 40 Mitchell Ave, Binghamton, NY 13903 |
| Ramanujapuram A Ramanujan | Endocrinology | 40 Mitchell Ave, Dba Diabetic Care Associates, Binghamton, NY 13903-0099 | |
| Nancy F Evans | Nurse Practitioner | 40 Mitchell Ave, Dba Diabetic Care Associates, Binghamton, NY 13903-0099 | |
| Yan Liu | Internal Medicine | 40 Mitchell Ave, Dba Diabetic Care Associates, Binghamton, NY 13903-0099 | |
| Lloyd Eugene Suter | Ophthalmology | Twin Tiers Eye Care Associates, PC | 1159 Vestal Ave, Binghamton, NY 13903-1606 |
| Find all physicians in zip 13903 | |||
| City | BINGHAMTON |
| Zip Code | 13903 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BINGHAMTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sae Joun Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.