Jay Eun Park
Jay Eun Park is a Student in an Organized Health Care Education/Training Program in Woodside, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6714 41st AveWoodside, NY 11377-8128
Phone: (718) 458-4243
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1902561244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2021 |
| Last updated in NPPES | November 2, 2021 |
| Certification date | November 2, 2021 |
| Mailing address | 6714 41st Ave, Woodside, NY 11377-8128 |
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