Individual
DR. DONG SUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
296 N MAIN ST, SPRING VALLEY, NY 10977-3736
(201) 956-9688
Mailing address
296 N MAIN ST, SPRING VALLEY, NY 10977
(201) 956-9688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00694400
NJ
111N00000X
Chiropractor
Primary
70012249
NY
Other
Enumeration date
01/07/2013
Last updated
01/08/2013
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