Organization
JUNIPER ACUPUNCTURE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANGGYU PARK (OWNERSHIP)
(646) 498-3398
Entity
Organization
Contact information
Practice address
360A W MERRICK RD, VALLEY STREAM, NY 11580-5354
(516) 872-3479
Mailing address
360A W MERRICK RD, VALLEY STREAM, NY 11580-5354
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005412
NY
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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