Daseul Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

20053046 Issued in NY

Practice address

1752 Park Ave
New York, NY 10035-2811

Phone

(646) 785-6349

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Park Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1770932246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E 95TH ST",
            "address_2": "APT #30L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284012",
            "telephone_number": "646-785-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352811",
            "telephone_number": "646-785-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DASEUL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "20053046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PARK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christy Park, OD
• Chul Jin Park, PHYSICIAN ASSISTANT
• Connie Park
• Daniel Park, DPT
• Daniel Park
• David C Park, M.D.
• Dodie Jung Min Park
• Donghwan Park
• Elisha Park
• Elizabeth Park, M.D.

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.