Eunice Park MD PLLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

EUNICE PARK MD PLLC

Doing business as

AIREM Plastic Surgery

Practice address

428 Jericho Tpke
Syosset, NY 11791-4509

Phone

(516) 614-1880

Fax

(516) 654-8585

NPI assigned

Apr 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eunice E Park, MDNPI 1962660530

Title

Owner

Phone

(516) 614-1880

Specialties & licenses 1

Addresses

Other names 1

• AIREM Plastic Surgery Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eunice E Park, MD MPH

  • Otolaryngology Physician
  • New York, NY
  • NPI 1962660530
  NPD Authorized official
• Shirley Hu

  • Facial Plastic Surgery Physician
  • Syosset, NY
  • NPI 1114380862
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1093396137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914509",
            "telephone_number": "516-614-1880",
            "fax_number": "516-654-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914509",
            "telephone_number": "516-614-1880",
            "fax_number": "516-654-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE PARK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-614-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIREM Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Empire Medical Equipment, LLC
• Endo Group, LLC
• Christina Nicole Esposito
• Nicole R Esposito, M.S. CCC-SLP
• Eugene Avrash DDS, Kathy Boadway DDS, PLLC
• Scott W Evanter, D.C.
• Kathleen Marie Everson, PSY.D.
• F Pacifico PC
• Fredric Fabiano, MD
• Louise Fabietti

• Facial Plastic Surgery Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Facial Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.