ELEANOR PARK
Physician Assistant
Active
Individual
NPI: 1538852017
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1538852017 is the National Provider Identifier for ELEANOR PARK, a Physician Assistant provider located in Fort Drum, NY. This NPI was enumerated on May 31, 2023.
ELEANOR PARK practices at 11050 MT BELVEDERE BLVD, Fort Drum, NY 13602.
Quick Facts
- NPI
- 1538852017
- Type
- Individual
- Enumerated
- May 31, 2023
- Last Updated
- Jul 16, 2024
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