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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.