IndividualActive
Charles Park, RN
NPI 1801575865 · Critical Care Medicine Registered Nurse · New York, NY
Provider details
- NPI number
- 1801575865
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 780948-01 (NY)
Mailing address
560 W 168th St
New York, NY 10032-3917
Registry dates
- Enumerated
- 2023-07-17
- Last updated
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.