Chan Soo Park, MD | |
205 South Ave, Suite 103, Poughkeepsie, NY 12601-4818 | |
(845) 454-2360 | |
(845) 454-2361 |
Full Name | Chan Soo Park |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 205 South Ave, Poughkeepsie, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861485484 | NPI | - | NPPES |
00503613 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 127160 (New York) | Primary |
Entity Name | State Of New York Comptrollers Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
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Chan Soo Park, MD 205 South Ave, Suite 103, Poughkeepsie, NY 12601-4818 Ph: (845) 454-2360 | Chan Soo Park, MD 205 South Ave, Suite 103, Poughkeepsie, NY 12601-4818 Ph: (845) 454-2360 |
Dr. Eldene Gwen Towey, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd # A, Poughkeepsie, NY 12601 Phone: 845-483-5000 | |
Sadaf R Ahsan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 845-483-8743 Fax: 845-485-3809 | |
Dr. Karanjit Singh Parihar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd # A, Poughkeepsie, NY 12601 Phone: 845-483-5000 | |
Gulnaz Kiyamova, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 914-909-9018 Fax: 914-909-9028 | |
Dr. Thomas D Steeves, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 21 Reade Pl Ste 1100, Poughkeepsie, NY 12601 Phone: 845-214-1922 | |
Khaled I Mohamed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 845-431-8287 | |
Dr. Jihyuk Han, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 Manchester Road, Suite 203a, Poughkeepsie, NY 12603 Phone: 845-485-5000 Fax: 845-485-5002 |