Individual
JUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11112 ATLANTIC AVE, SOUTH RICHMOND HILL, NY 11419-1158
(718) 846-0824
Mailing address
11112 ATLANTIC AVE, SOUTH RICHMOND HILL, NY 11419-1158
(718) 846-0824
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007311
NY
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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