Susan Park Md Physician/surgeon
1 Theall Rd, Rye, NY 10580


Susan Park Md is licensed in the eLicensing system of Connecticut. The license credential ID is 561270. The license type is Physician/Surgeon. The license status is INACTIVE. The address is 1 Theall Rd, Rye, NY 10580. The zip code is 10580.


Susan Park Md · 1 Theall Rd, Rye, NY 10580

Credential ID 561270
Name SUSAN PARK MD
Type INDIVIDUAL
Address 1 THEALL RD
RYE, NY 10580
License Credential Physician/Surgeon
Full Credential Code 1.043688
Credential Type 1
Credential Number 43688
Status INACTIVE
Status Reason LAPSED DUE TO NON-RENEWAL
Issue Date 07/29/2005
Effective Date 01/01/2010
Expiration Date 12/31/2010
Record Refresh Date 04/04/2011

street_number: 1
route: Theall Road (Theall Rd)
locality, political: Rye
admin_level_2, political: Westchester County
admin_level_1, political: New York (NY)
country, political: United States (US)
postal_code: 10580
types : street_address
latitude: 40.9740977
longitude: -73.6973953
latlng: (40.9740977, -73.6973953)


Zip 10580 · Physician/surgeon · Connecticut Business

Allison V Downer Md · Physician/surgeon 35 Purchase St Ste 303, Rye, NY 105803004
Adora Fou Md · Physician/surgeon 1 Theall Rd, Rye, NY 105801404
Jennifer F Kherani · Physician/surgeon 2 Hughes Ave, Rye, NY 105801317
Robert Sussman · Physician/surgeon 167 Purchase St, Rye, NY 10580
Andrew D Pearle · Physician/surgeon 15 Ridgewood Dr, Rye, NY 105801621
Steven C Greenberg Md · Physician/surgeon 1 Theall Rd, Rye, NY 10580
Elizabeth Virginia-hartman · Physician/surgeon 92 Hix Ave, Rye, NY 105802450
Joseph T Culverwell · Physician/surgeon 629 Milton Rd, Rye, NY 10580
Neil S Weintraub Md · Physician/surgeon 1 Theall Rd, Rye, NY 10580
Erika Wandel · Physician/surgeon 167 Purchase St, Rye, NY 105802171
Kenneth S Schwartz Md · Physician/surgeon 1 Theall Road, Rye, NY 10580
Oksana Kostko · Physician/surgeon 69 Waters Edge, Rye, NY 105803256
James F Goldszer · Physician/surgeon 10 Mayfield St, Rye, NY 10580
Gary E Rothbart · Physician/surgeon 1 Theall Road, Rye, NY 10580
Elena E Gazzola-kraenzlin Md · Physician/surgeon 150 Purchase St Ste 8a, Rye, NY 105802143
Modestus Lee Md · Physician/surgeon 211 Midland Ave, Rye, NY 10580
Susan T Lubin · Physician/surgeon 58 Franklin Ave, Rye, NY 105802545
James R Dickson · Physician/surgeon 4 Upper Dogwood Lane, Rye, NY 10580
Ameet K Goyal Md · Physician/surgeon 167 Purchase St, Rye, NY 10580
Robert Samaniego · Physician/surgeon 33 Cedar St Ste 3, Rye, NY 105802031