Individual
SEUNG K. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LMT
Contact information
Practice address
20 E 35TH ST, #1E, NEW YORK, NY 10016-3887
(205) 285-7837
Mailing address
1106 128TH ST, COLLEGE POINT, NY 11356-1938
(205) 285-7837
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005909
NY
225700000X
Massage Therapist
015929
NY
Other
Enumeration date
02/01/2017
Last updated
03/03/2017
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