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Organization
MOCEAN WELLNESS CORP
Active
Organization
MOCEAN WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA JIHOON PARK DPT (CEO)
(917) 715-4665
Entity
Organization
Contact information
Practice address
50 E 42ND ST RM 702, NEW YORK, NY 10017-5434
(908) 723-1140
Mailing address
50 E 42ND ST RM 1304, NEW YORK, NY 10017-5425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073064937
OUT OF NETWORK PROVIDER
NY
Enumeration date
01/30/2020
Last updated
11/01/2020
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