Individual
CHEONJUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3503 156TH ST, FLUSHING, NY 11354-5021
(347) 365-0041
Mailing address
3503 156TH ST, FLUSHING, NY 11354-5021
(347) 365-0041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047280
NY
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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