National Provider Identifier
Steve B. Park M.D. PC
Steve B. Park M.D. PC is listed in the NPPES registry with a primary specialty of Eyewear Supplier in Rochester, NY and a listed phone number of (585) 244-2200.
Profile Overview
- NPI
- 1245467711
- Provider Type
- Organization
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- June 11, 2009
- Last Updated
- June 18, 2009
Practice Location
- 160 Sawgrass Dr
- Ste 220
- Rochester, NY 14620-4648
Phone: (585) 244-2200
Mailing Address
- 2300 Buffalo Road
- Bldg 700
- Rochester, NY 14624-1367
Specialties
- Eyewear Supplier (332H00000X)
Full Record
- NPI
- 1245467711
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Steve B. Park M.D. PC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 2300 Buffalo Road
- Mailing Address Line 2
- Bldg 700
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-1367
- Mailing Country
- US
- Mailing Phone
- (585) 328-0153
- Mailing Fax
- (585) 328-0158
- Practice Street Address
- 160 Sawgrass Dr
- Practice Address Line 2
- Ste 220
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4648
- Practice Country
- US
- Practice Phone
- (585) 244-2200
- Practice Fax
- (585) 244-3416
- Enumeration Date
- June 11, 2009
- Last Updated
- June 18, 2009
- Authorized Official Last Name
- Park
- Authorized Official First Name
- Steve
- Authorized Official Middle Name
- B
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 328-0153
- Organization Subpart
- No
- Authorized Official Credential Text
- M.D.
- Taxonomies
- Eyewear Supplier (332H00000X)
- Other Identifiers
- 02364010 (NY), 11217A (NY, Medicare Id-Type Unspecified), 00468162 (NY), 01445376 (NY), 01728156 (NY), 00466308 (NY), 01093163 (NY)