Individual
JUSTIN CHANGGYU PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 DEKALB AVE STE 321, BROOKLYN, NY 11205-4808
(646) 498-3398
Mailing address
PO BOX 604246, BAYSIDE, NY 11360-4246
(646) 498-3398
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X014050
NY
171100000X
Acupuncturist
Primary
5412
NY
Other
Enumeration date
11/24/2014
Last updated
04/15/2026
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