National Provider Identifier
Hyunyong Park
Hyunyong Park is listed in the NPPES registry with a primary specialty of Pharmacist in Tonawanda, NY and a listed phone number of (716) 695-1111.
Profile Overview
- NPI
- 1952149304
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- July 18, 2024
- Last Updated
- July 18, 2024
Practice Location
- 4220 Delaware Ave
- Tonawanda, NY 14150-6120
Phone: (716) 695-1111
Mailing Address
- 6386 Transit RD Apt 339
- Depew, NY 14043-1125
Specialties
- Pharmacist (183500000X)
- Pharmacist (183500000X)
Full Record
- NPI
- 1952149304
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Hyunyong
- Mailing Street Address
- 6386 Transit RD Apt 339
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-1125
- Mailing Country
- US
- Mailing Phone
- (201) 364-5553
- Practice Street Address
- 4220 Delaware Ave
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-6120
- Practice Country
- US
- Practice Phone
- (716) 695-1111
- Enumeration Date
- July 18, 2024
- Last Updated
- July 18, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 18, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X), Pharmacist (183500000X)