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Seoung Sou Park, MD
Endocrinology, Diabetes & Metabolism Physician in Mount Vernon, New York
NPI 1902948193

Seoung Sou Park is a Endocrinology, Diabetes & Metabolism Physician based in Mount Vernon, NY and is specialized in Endocrinology, Diabetes & Metabolism. Seoung Sou Park practices in Mount Vernon, NY and has the professional credentials of MD. The NPI Number for Seoung Sou Park is 1902948193 and holds a License No. 197192 (New York).

The current practice location address for Seoung Sou Park is 105 Stevens Avenue, Mount Vernon, NY and can be reached out via phone at 914-663-6635 and via fax at 914-663-6637. You can also correspond with Seoung Sou Park through the mailing address at 105 STEVENS AVENUE, MOUNT VERNON, NY - 10550-2686 (mailing address contact number: 914-663-6635).

Location: 105 Stevens Avenue, Mount Vernon, NY, 10550-2686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902948193
Provider Name
Seoung Sou Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
105 Stevens Avenue, Mount Vernon, NY, 10550-2686
Phone Number
914-663-6635
Fax Number
914-663-6637
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P1229667 01 OXFORD HEALTH PLAN
21N461 01 NY EMPIRE BCBS
7464117 01 AETNA
01729675 05 NY
institution
Provider Business Practice Location Address Details
Address
105 Stevens Avenue
City
Mount Vernon
State
New York
Zip
10550-2686
Phone Number
914-663-6635
Fax Number
914-663-6637
person
Provider Business Mailing Address Details
Address
105 Stevens Avenue
City
Mount Vernon
State
New York
Zip
10550-2686
Phone Number
914-663-6635
Fax Number
914-663-6637
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
207RE0101X
License No.
197192 (New York)
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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