AMANDA J PARK
NPI 1285104331
Specialist in Hewlett, NY
About Amanda J Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA J PARK (NPI 1285104331) is an individual specialist in Hewlett, New York, licensed in New York (828359) and active in the NPI registry since December 2018.
NPPES Registry Identity
Specialties & Licenses
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 Amanda Park's NPI number?
The NPI number for Amanda Park is 1285104331. It was assigned to this individual provider in the NPPES registry on December 3, 2018.
Where is Amanda Park located?
Amanda Park practices at 291 Channon Rd, Hewlett, NY 11557. The listed phone number is (516) 287-7092.
What is Amanda Park's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
When was this NPI record last updated?
The NPPES record for Amanda Park was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Amanda J Park · NPI 1285104331
Specialist provider in Hewlett, New York. Individual provider, active in the CMS NPPES registry since December 3, 2018.
## Identity
- **NPI:** 1285104331 (Entity type: Individual)
- **Enumerated:** December 3, 2018
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 828359 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 291 CHANNON RD, Hewlett, NY 11557-2701
- **Phone:** (516) 287-7092
## Record status
- **NPPES last updated:** December 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1285104331) · Data from the CMS NPPES public registry.