Organization
SHP CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG HO PARK D.C. (OWNER)
(646) 920-8691
Entity
Organization
Contact information
Practice address
4212 164TH ST FL 1, FLUSHING, NY 11358-2620
(718) 701-5500
Mailing address
PO BOX 3485, NEW HYDE PARK, NY 11040-8485
(646) 920-8691
(515) 604-0206
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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