Organization
CLOUD CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONGDUG PARK D.C. (OWNER)
(917) 715-5115
Entity
Organization
Contact information
Practice address
15609 NORTHERN BLVD, FL 1, FLUSHING, NY 11354-5033
(718) 888-9900
Mailing address
15609 NORTHERN BLVD, FL 1, FLUSHING, NY 11354-5033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12153
NY
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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