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

Active since April 20, 2021CLIA 33D2305717 · Waiver
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: September 13, 2026.

About Eunice Park Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUNICE PARK MD PLLC (NPI 1093396137), doing business as Airem Plastic Surgery, is a healthcare organization registered as a facial plastic surgery in Syosset, New York and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Eunice E Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1093396137
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameEUNICE PARK MD PLLC
Location Address428 JERICHO TPKESyosset, NY 11791-4509
Mailing Address428 Jericho TpkeSyosset, NY 11791-4509 · (516) 614-1880 · Fax (516) 654-8585
Phone(516) 614-1880
Fax(516) 654-8585
Organization SubpartNo
Authorized OfficialEunice E ParkOwner · (516) 614-1880
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1093396137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
428 JERICHO TPKE, Syosset, NY 11791
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Other Names 1

Doing Business AsAirem Plastic Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2305717

Eunice Park MD PLLC · Syosset, NY
Active · expires Jun 4, 2028
CLIA Number33D2305717
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorDr. Eunice E. Park
Laboratory Phone(516) 614-1880
Laboratory LocationEunice Park MD PLLC428 Jericho Turnpike, Syosset, NY 11791
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIRLEY HU
Otolaryngology (Facial Plastic Surgery)
428 JERICHO TPKE
SYOSSET, NY 11791
Nassau County (516) 614-1880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eunice Park MD PLLC's NPI number?

The NPI number for Eunice Park MD PLLC is 1093396137. It was assigned to this organization in the NPPES registry on April 20, 2021. The provider is doing business as AIREM Plastic Surgery.

Where is Eunice Park MD PLLC located?

Eunice Park MD PLLC is located at 428 Jericho Tpke, Syosset, NY 11791. The listed phone number is (516) 614-1880.

What is Eunice Park MD PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Does Eunice Park MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2305717) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eunice Park MD PLLC was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.