Individual
DR. ANDREW J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, MS, MS LAC
Contact information
Practice address
850 7TH AVE, SUITE 302, NEW YORK, NY 10019-5230
(516) 813-7099
(646) 688-4765
Mailing address
850 7TH AVE, SUITE 302, NEW YORK, NY 10019-5230
(516) 813-7099
(646) 688-4765
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012187-1
NY
111NN1001X
Nutrition Chiropractor
X012187-1
NY
111NS0005X
Sports Physician Chiropractor
X012187
NY
171100000X
Acupuncturist
004991
NY
Other
Enumeration date
06/11/2012
Last updated
01/31/2013
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