| Bum Y Park, MD | |
|
4010 70th St, Woodside, NY 11377-2930 | |
| (718) 899-4600 | |
| (718) 446-8302 |
| Full Name | Bum Y Park |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 4010 70th St, Woodside, 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 |
|---|---|---|---|
| 1750353124 | NPI | - | NPPES |
| 01008740 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 168409 (New York) | Secondary |
| 208D00000X | General Practice | 168409 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bum Y Park, MD 4010 70th St, Woodside, NY 11377-2930 Ph: (718) 899-4600 | Bum Y Park, MD 4010 70th St, Woodside, NY 11377-2930 Ph: (718) 899-4600 |
John Benjamin Edwards, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3975 56th St Apt 4b, Woodside, NY 11377 Phone: 646-627-4985 | |
Dr. Margaret Han Dugan, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 4442 64th St, Woodside, NY 11377 Phone: 718-478-8431 |