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SAE JOUN PARK PC
NPI 1316260045
Family Medicine - Adult Medicine in Binghamton, NY

Active since March 09, 2010
10 MITCHELL AVE, BINGHAMTON, NY 13903(607) 762-2020(607) 762-2029 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sae Joun Park Pc NPPES

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

SAE JOUN PARK PC (NPI 1316260045) is a healthcare organization registered as an adult medicine in Binghamton, New York and active in the NPI registry since March 2010. The organization lists Sae Joun Park, President, as its authorized official.

NPPES Registry Identity

NPI1316260045
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSAE JOUN PARK PC
Location Address10 MITCHELL AVEBinghamton, NY 13903-1617
Mailing Address10 Mitchell AveBinghamton, NY 13903-1617 · (607) 762-2020 · Fax (607) 762-2029
Phone(607) 762-2020
Fax(607) 762-2029
Organization SubpartNo
Authorized OfficialSae Joun ParkPresident · (607) 762-2020
Enumeration DateMarch 9, 2010
✔ NPI 1316260045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NY · 110896
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
10 MITCHELL AVE, Binghamton, NY 13903
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Other Identifiers 3

Medicaid00395675NY
Medicare UPINC58751NY
Medicare PIN35053BNY

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

Other Providers at the Same Location NPPES 4

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

MRS. STACY LYNN FELTZ RPH
Pharmacist
10 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 762-2237
SARAH L SMITH LMSW
Social Worker
10 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 762-3213
TRISHA CHAMBERS LMSW
Social Worker
10 MITCHELL AVE, NEW HORIZONS
BINGHAMTON, NY 13903
Broome County (607) 762-2229
CAITLYN ANN LEWIS CASAC-T
Counselor (Addiction (Substance Use Disorder))
10 MITCHELL AVE, NEW HORIZONS
BINGHAMTON, NY 13903
Broome County (607) 762-2754

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 Sae Joun Park PC's NPI number?

The NPI number for Sae Joun Park PC is 1316260045. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Sae Joun Park PC located?

Sae Joun Park PC is located at 10 Mitchell Ave, Binghamton, NY 13903. The listed phone number is (607) 762-2020.

What is Sae Joun Park PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Sae Joun Park PC was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.