JoAnn Park's National Provider Identifier (NPI) Details
JoAnn Park, LCSW
NPI: 1619103595
Enumeration Date: 2009-06-04
Last updated: 2018-10-25
Sole Proprietor: NO
Status: active
Postal Address: 65 COLUMBUS AVE, STATEN ISLAND, NY
Phone: 718-448-3210
Primary Practice Address: 2535 ARTHUR KILL RD, STATEN ISLAND, NY
Practice's phone: 718-448-3210