Active NPI
Seo Young Esther Park, PHARMD
- Psychiatric Pharmacist
- Nyack, NY
National Provider Identifier
1104748029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 072045
- Practice address
- 160 N Midland Ave
Nyack, NY 10960-1912 - Phone
- (845) 348-2000
- NPI assigned
- Jul 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 072045 | NY | Primary |
Addresses
Primary practice location
160 N Midland Ave
Nyack, NY 10960-1912
Mailing address
455 Fairview Ave Apt 12
Fairview, NJ 07022-1865
Phone (201) 704-4727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1104748029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 FAIRVIEW AVE APT 12",
"city": "FAIRVIEW",
"state": "NJ",
"postal_code": "070221865",
"telephone_number": "201-704-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N MIDLAND AVE",
"city": "NYACK",
"state": "NY",
"postal_code": "109601912",
"telephone_number": "845-348-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SEO YOUNG",
"middle_name": "ESTHER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-30",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NY",
"license": "072045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.