Jae Kwan Park
Jae Kwan Park is an Acupuncturist in Little Neck, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
5715 256th StLittle Neck, NY 11362-2140
Phone: (917) 545-3143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acupuncturist (primary) | Taxonomy 171100000X · Licence 005860 (NY) |
|---|
Record details
| NPI number | 1578229324 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 15, 2021 |
| Last updated in NPPES | November 15, 2021 |
| Certification date | November 15, 2021 |
| Mailing address | 5715 256th St, Little Neck, NY 11362-2140 |
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