EUNICE PARK MD PLLC
NPI 1093396137
Otolaryngology - Facial Plastic Surgery in Syosset, NY

Active since April 20, 2021
428 JERICHO TPKE, SYOSSET, NY 11791(516) 614-1880(516) 654-8585 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Otolaryngology
  • Facial Plastic Surgery

About EUNICE PARK MD PLLC

This page provides the complete NPI Profile along with additional information for Eunice Park Md Pllc, a provider established in Syosset, New York operating as a Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1093396137 assigned on April 2021. The practitioner's primary taxonomy code is 207YS0123X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Eunice E Park Md (Owner)

NPI
1093396137 Verify this NPI
Provider Name
EUNICE PARK MD PLLC
Entity Type
Organization
Location Address
428 JERICHO TPKE SYOSSET, NY 11791
Location Phone
(516) 614-1880
Location Fax
(516) 654-8585
Mailing Address
428 JERICHO TPKE SYOSSET, NY 11791
Mailing Phone
(516) 614-1880
Mailing Fax
(516) 654-8585
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2021
Last Update Date
04-20-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Facial Plastic Surgery

Taxonomy Code
207YS0123X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist who specializes in facial plastic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. EUNICE E PARK MD

Authorized Official Title
OWNER
Authorized Official Phone
(516) 614-1880

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Otolaryngology (Facial Plastic Surgery)
428 JERICHO TPKE
SYOSSET, NY 11791

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093396137, enumerated as an "organization" on April 20, 2021.

The provider is located at 428 JERICHO TPKE SYOSSET, NY 11791 and the phone number is (516) 614-1880.

Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.