Young Seok Park, P.T. & L, AC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017070 Issued in NY

Practice address

2016 Grand Ave.
Baldwin, NY 11510

Phone

(516) 623-2277

Fax

(516) 623-2525

NPI assigned

Jul 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1215137971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WILDWOOD LN",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "11548",
            "telephone_number": "516-623-2277",
            "fax_number": "516-623-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 GRAND AVE.",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "516-623-2277",
            "fax_number": "516-623-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YOUNG",
        "middle_name": "SEOK",
        "credential": "P.T. & L, AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017070",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hope Osterweil, OTR/L
• Bret Ostrager, DO
• Ismail Ozcan, M.D.
• Pamela Ullaguari SLP P.C.
• Hannah Park-Lusterman, CNA, HHA, PCA
• Arlene Sandra Parker, LCSW
• Esther Pascuzzi
• Bhikhu Patel
• Anamika Patni
• Garfield Patrick, NP

• Physical Therapist in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.