Chan Soo Park is a Poughkeepsie, New York based neurologist who is specialized in Neurology. Active license number of Chan Soo Park is 127160 for Neurology in New York. His current practice location is 205 South Ave, Suite 103, Poughkeepsie. Patients can reach him at 845-454-2360 or can fax him at 845-454-2361. Chan Soo Park is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1861485484.
Chan Soo Park specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Chan Soo Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Chan Soo Park |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | MD |
| Practice Address: | 205 South Ave, Suite 103, Poughkeepsie,
New York, 12601-4818 |
| Phone: | 845-454-2360 |
| Fax: | 845-454-2361 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1861485484 |
| NPI Enumeration Date: | 30 Aug, 2005 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chan Soo Park are as mentioned below.
| License Number | Specialization | State | Status | |
| 127160 | Neurology | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Chan Soo Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00503613 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Chan Soo Park
205 South Ave, Suite 103
Poughkeepsie, New York |
| Zip: | 12601-4818 |
| Phone Number: | 845-454-2360 |
| Fax Number: | 845-454-2361 |
Patients can reach Chan Soo Park at
205 South Ave, Suite 103, Poughkeepsie, New York or can
call to book an appointment on 845-454-2360.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.