Individual
BRUCE WOONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
200 E 58TH ST, APT 15J, NEW YORK, NY 10022-2025
(646) 262-6315
Mailing address
200 E 58TH ST, APT 15J, NEW YORK, NY 10022-2025
(646) 262-6315
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004850
NY
Other
Enumeration date
08/02/2012
Last updated
10/07/2015
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