Individual
DR. SONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.C
Contact information
Practice address
16 E 40TH ST FL 2, NEW YORK, NY 10016-0134
(917) 513-8786
Mailing address
4037 77TH ST APT 4C, ELMHURST, NY 11373-1102
(917) 513-8786
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005741
NY
Other
Enumeration date
06/28/2017
Last updated
03/17/2018
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