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Individual

SANG HO PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4212 164TH ST FL 1, FLUSHING, NY 11358-2620
(718) 701-5500
Mailing address
PO BOX 3525, NEW HYDE PARK, NY 11040-8525

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
X009838
NY
171100000X
Acupuncturist
004689
NY

Other

Enumeration date
07/11/2006
Last updated
02/02/2023
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