Lydia S Park (NPI# 1871886531, PAC ID# 9739495581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1871886531 |
| PAC ID by PECOS | 9739495581 |
| Professional Enrollment ID | I20150825004025 |
| Full Name | Lydia S Park |
| Organization Legal Name | CITY MEDICAL OF UPPER EAST SIDE PLLC |
| Address |
6118 188th St Fresh Meadows NY 11365-2713 |
| Phone Number | 7184895003 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 0648465039 |
| Number of Group Practice Members | 493 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7425 Grand Ave, Elmhurst, NY 11373-4126 | 7188032273 | CITY MEDICAL OF UPPER EAST SIDE PLLC |
| 6118 188th St, Fresh Meadows, NY 11365-2713 | 7184895003 | CITY MEDICAL OF UPPER EAST SIDE PLLC |
| Organization Legal Name | CITY MEDICAL OF UPPER EAST SIDE PLLC |
| Physicians | 517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn E Bowman | Internal Medicine | City Medical of Upper East Side Pllc | 1150 3rd Ave, New York, NY 10065-5913 |
| Lynchy Lezeau | Internal Medicine | City Medical of Upper East Side Pllc | 2125 Nostrand Ave, Brooklyn, NY 11210-3001 |
| Ekaterina Ivanova Tzvetkova | Emergency Medicine | City Medical of Upper East Side Pllc | 138 Fulton St, New York, NY 10038-2521 |
| Camilo Ernesto Villalobos | Family Medicine | City Medical of Upper East Side Pllc | 3556 Broadway, New York, NY 10031-3202 |
| Anita Anita Qureshi | Physician Assistant | City Medical of Upper East Side Pllc | 356 W 125th St, New York, NY 10027-4820 |
| Aubrey Raimondi | Family Medicine | City Medical of Upper East Side Pllc | 944 2nd Ave, New York, NY 10022-7805 |
| Kavita Beharry-mohan | Family Medicine | City Medical of Upper East Side Pllc | 14 W 14th St, New York, NY 10011-7524 |
| Riaz A Ali | Physician Assistant | City Medical of Upper East Side Pllc | 2025 Broadway, New York, NY 10023-5016 |
| Vida Lee | Family Medicine | City Medical of Upper East Side Pllc | 135 Montague St, Brooklyn, NY 11201-3504 |
| Jessica Lee Attard | Nurse Practitioner | City Medical of Upper East Side Pllc | 3276 Hempstead Tpke, Levittown, NY 11756-1345 |
| Street Address |
6118 188TH ST |
| City | FRESH MEADOWS |
| State | NY |
| Zip | 11365-2713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell L Chorost | Surgical Oncology | Chs Physician Partners PC | 16033 Horace Harding Expy, Suite 100, Fresh Meadows, NY 11365-1425 |
| Richard Pashayan | Chiropractic | 57 53 Parsons Blvd, Flushing, NY 11365-1430 | |
| Renee Marie Chin | Obstetrics/gynecology | Bethpage Medical Pllc | 163 -03 Horace Harding Expy, Suite 300, Fresh Meadows, NY 11365-1449 |
| Melvin J Breite | Internal Medicine | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Thomas Pappas | Interventional Cardiology | Chs Physician Partners PC | 163 - 03 Horace Harding Expy, Suite 100, Fresh Meadows, NY 11365-1449 |
| Kevin N Jiang | Orthopedic Surgery | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Chong H Park | Interventional Cardiology | Chs Physician Partners PC | 163 - 03 Horace Harding Expy, Suite 100, Fresh Meadows, NY 11365-1449 |
| Cindy C Cheung | Obstetrics/gynecology | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Kevin I Pak | Physical Medicine and Rehabilitation | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Robert M Farrell | Urology | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Find all physicians in zip 11365 | |||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FRESH MEADOWS + INTERNAL MEDICINE |
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| 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.