445 LENOX RD
BROOKLYN, NY 11203-2017 US PECOS Enrolled
Overview
Eunhae Park is a Emergency Medicine Physician in the BROOKLYN area. Eunhae Park primary office location is at 445 LENOX RD and new patients are welcome to contact this healthcare provider for an appointment.
Eunhae Park is affiliated with one hospital in the BROOKLYN area, SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN. The NPI number is 1174518922 and the information was updated approximately 17 years ago.
Eunhae Park is affiliated with one medical group in the BROOKLYN area, UNIVERSITY HOSPITAL OF BROOKLYN SUNY DOWNSTATE HEALTH SCIENCES UNIVERS.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: Unknown
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 217656-1 | NY |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 02152101 | NY |
| Taxonomy | State | Primary? |
|---|---|---|
| Emergency Medicine Physician - Taxonomy Code 207P00000X | NY | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20110426000168 |
| PECOS Individual PAC ID: | 3678758273 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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