person
Mr. Jason Park
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1912318908

Jason Park is a Student in an Organized Health Care Education/Training Program based in Vancouver, NY. Jason Park practices in Stony Brook, NY. The NPI Number for Jason Park is 1912318908 and holds a License No. (New York).

The current practice location address for Jason Park is Hospital Dentistry Westchester Hl, Stony Brook, NY and can be reached out via phone at 631-444-2557 and via fax at 631-444-6013.

Location: Hospital Dentistry Westchester Hl, Stony Brook, NY, V6T 1-T7
person
Provider Profile Details
NPI Number
1912318908
Provider Name
Jason Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
Hospital Dentistry Westchester Hl, Stony Brook, NY, V6T 1-T7
Phone Number
631-444-2557
Fax Number
631-444-6013
Provider Enumeration Date
05/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Hospital Dentistry Westchester Hl
City
State
Zip
11794-8711
Phone Number
631-444-2557
Fax Number
631-444-6013
person
Provider Business Mailing Address Details
Address
Hospital Dentistry Westchester Hl
City
State
Zip
11794-8711
Phone Number
631-444-2557
Fax Number
631-444-6013
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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