Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chan Jin Park, LAC

Individual provider Acupuncturist · NPI 1508404492

Chan Jin Park, LAC is an Acupuncturist in Bayside, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

21537 48th Ave Apt 2B
Bayside, NY 11364-1359
Phone: (347) 549-2275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 5471 (NY)

Record details

NPI number1508404492
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedDecember 11, 2019
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019
Mailing address21537 48th Ave Apt 2b, Bayside, NY 11364-1359

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