Individual
NO TAE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3407 MURRAY ST FL 3, FLUSHING, NY 11354-3948
(718) 888-1522
Mailing address
3407 MURRAY ST FL 3, FLUSHING, NY 11354-3948
(718) 888-1522
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005206
NY
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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