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Trevor Parks, M.D Valid NPI

Individual provider · Internal Medicine Physician · Astoria, NY

NPI
1457580771
Type
Individual (Type 1)
Primary specialty
Internal Medicine Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207R00000X
License number
003783 (NY)
Sex
Male
Sole proprietor
No
Enumerated
2009-07-08
Last updated
2009-07-08
Practice location
4904 19th Ave
Astoria, NY 11105-1002
(718) 777-3494

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