National Provider Identifier
Paul Park, M.D.
Paul Park, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 898-4578.
Profile Overview
- NPI
- 1265879167
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 31, 2013
- Last Updated
- October 31, 2025
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-4578
Specialties
- Internal Medicine Physician (207R00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1265879167
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Paul
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-4578
- Enumeration Date
- May 31, 2013
- Last Updated
- October 31, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 31, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)