Active NPIIndividual providerSole proprietor

Hyeyoon H Park

Nurse Practitioner, Adult Health in Flushing, New York

NPI Number1760840201
Practice location
14472 Northern Blvd Ste 203, Flushing, NY 11354-4231
Fax
—
Last updated
March 1, 2022

Hyeyoon Hannah Park is a Nurse Practitioner, Adult Health based in Flushing, NY. Hyeyoon Hannah Park practices in Flushing, NY. The NPI Number for Hyeyoon Hannah Park is 1760840201 and holds a License No. F307577-1 (NY). The current practice location address for Hyeyoon Hannah Park is 14472 Northern Blvd Ste 203, Flushing, NY 11354-4231 and can be reached out via phone at 718-886-9000.

Provider Profile Details

NPI Number
1760840201
Provider Name
Hyeyoon Hannah Park
Provider Entity Type
Individual
Gender
Female
Address
14472 Northern Blvd Ste 203, Flushing, NY 11354-4231
Phone Number
718-886-9000
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
January 28, 2016
Last Update Date
March 1, 2022
Certification Date
March 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
14472 Northern Blvd Ste 203
Flushing, NY 11354-4231
Zip
11354-4231
Phone Number
718-886-9000
Flushing, NY 11354Get directions →

Provider Business Mailing Address Details

Address
4012 80TH St
Elmhurst, NY 11373-1234
City
Elmhurst
State
NY
Zip
11373-1234
Phone Number
718-886-9000

License Information

License Number
F307577-1
License State
NY
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Hyeyoon H Park?

The NPI number of Hyeyoon H Park is 1760840201. It was assigned on January 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Hyeyoon H Park?

Hyeyoon H Park is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number F307577-1.

Where does Hyeyoon H Park practice?

The practice location is 14472 Northern Blvd Ste 203, Flushing, NY 11354-4231. The office can be reached at 718-886-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760840201 directly on the NPPES registry website.

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