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Ellen Park

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NPI Number Detailed Information

Provider Information:

Name: Ellen Park
Gender: F
Provider License Number If Given:

NPI Information:

NPI: 1619075413
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/20/2006

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 625 ELMWOOD AVE BOX 683
Rochester, NY 14620
Phone Number: 5852755087
Fax Number:

Provider Business Practice Location Address:

Address: 625 ELMWOOD AVE BOX 683
Rochester, NY 14620
Phone Number: 5852755087
Fax Number:

Provider Taxonomy:

Primary: 390200000X
Secondary (if any):
State: NY

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About Ellen Park

Ellen Park ( ELLEN PARK ) is An Student in an Organized Health Care Education/Training Program Physician in Rochester, NY. The NPI Number for Ellen Park is 1619075413.
The current location address for Ellen Park is 625 ELMWOOD AVE BOX 683 Rochester, NY 14620 and the contact number is 5852755087 and fax number is . The mailing address for Ellen Park is 625 ELMWOOD AVE BOX 683 Rochester, NY 14620- 5852755087 (mailing address contact number - 5852755087).
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Ellen Park ?


Answer: The NPI Number for Ellen Park is 1619075413

Where is Ellen Park located?


Answer: Ellen Park is located at 625 ELMWOOD AVE BOX 683 Rochester, NY 14620.

What is the specialty for Ellen Park ?


Answer: The Specialty of Ellen Park is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Ellen Park ?


Answer: Not yet!

Are there any other health care providers in Rochester, NY?


Answer: Yes, there are given below...

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Ellen Park in Other Directories

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