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Dr. Tae Park, MD
Radiation Oncology Physician in Stony Brook, New York
NPI 1932141942

Tae Park is a Radiation Oncology Physician based in Stony Brook, NY and is specialized in Radiation Oncology. Tae Park practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Tae Park is 1932141942 and holds a License No. 155585 (New York).

The current practice location address for Tae Park is University Hospital L2, Stony Brook, NY and can be reached out via phone at 631-444-2210.

Location: University Hospital L2, Stony Brook, NY, 11790-0989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932141942
Provider Name
Tae Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
University Hospital L2, Stony Brook, NY, 11790-0989
Phone Number
631-444-2210
Fax Number
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43D181 01 NY EMPIRE B/C B/S
4664533 01 NY AETNA
00893265 05 NY
institution
Provider Business Practice Location Address Details
Address
University Hospital L2
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2210
Fax Number
person
Provider Business Mailing Address Details
Address
University Hospital L2
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2210
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
155585 (New York)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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