National Provider Identifier

Steve Byongkoo Park, MD

Steve Byongkoo Park, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Rochester, NY and a listed phone number of (585) 328-0153.

NPI 1053393009Rochester, NYOphthalmology Physician

Profile Overview

NPI
1053393009
Provider Type
Individual
Primary Specialty
Ophthalmology Physician
Enumeration Date
November 16, 2005
Last Updated
March 13, 2020

Practice Location

  • 2300 Buffalo RD
  • Bldg 700
  • Rochester, NY 14624-1360

Phone: (585) 328-0153

Specialties

  • Ophthalmology Physician (207W00000X)
Full Record
NPI
1053393009
Entity Type
Individual
Last Name
Park
First Name
Steve
Middle Name
Byongkoo
Credential
MD
Mailing Street Address
2300 Buffalo RD
Mailing Address Line 2
Bldg 700
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-1360
Mailing Country
US
Mailing Phone
(585) 328-0153
Mailing Fax
(585) 328-0158
Practice Street Address
2300 Buffalo RD
Practice Address Line 2
Bldg 700
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-1360
Practice Country
US
Practice Phone
(585) 328-0153
Practice Fax
(585) 328-0158
Enumeration Date
November 16, 2005
Last Updated
March 13, 2020
Sex
Male
Sole Proprietor
No
Certification Date
March 13, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Ophthalmology Physician (207W00000X)
Other Identifiers
01445376 (NY)