| Ji Young Park, | |
| 
					2 Longview Ave, Suite 600 6th Floor, White Plains, NY 10601  | |
| (914) 849-7586 | |
| Not Available | 
| Full Name | Ji Young Park | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 2 Longview Ave, White Plains, 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 | 
|---|---|---|---|
| 1558954255 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary | 
| Provider Name | White Plains Physician Services | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1124502687 PECOS PAC ID: 3476894445 Enrollment ID: O20190402000216  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ji Young Park, 8817a 53ave 2fl, Elmhurst, NY 11373 Ph: (917) 817-0210  | Ji Young Park, 2 Longview Ave, Suite 600 6th Floor, White Plains, NY 10601 Ph: (914) 849-7586  | 
Ms. Mindy Joy Aschkenasy, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 154 Old Mamaroneck Rd, White Plains, NY 10605 Phone: 917-679-1231  | |
Miss Laurie A Mattaboni, MS CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 New King St, 105, White Plains, NY 10604 Phone: 914-390-9880  | |
Courtney Picciano,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Orchard Dr, White Plains, NY 10603 Phone: 914-275-8918  | |
Michelle Monforte,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 456 North St, White Plains, NY 10605 Phone: 914-761-2731  | |
Elizabeth Helmrich,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5 Bryant Cres Apt 2j, White Plains, NY 10605 Phone: 914-715-3843  | |
Samantha Rae Capece, M.S. ED., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 785 Mamaroneck Ave, White Plains, NY 10605 Phone: 914-597-2500  | |
Hannah Michelle Sims,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 470 Mamaroneck Ave Ste 204, White Plains, NY 10605 Phone: 914-218-0998  |