Individual
SEUNGMAN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1272 51ST ST, BROOKLYN, NY 11219-3663
(917) 680-1504
Mailing address
1272 51ST ST, BROOKLYN, NY 11219-3663
(917) 680-1504
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005803
NY
Other
Enumeration date
07/20/2016
Last updated
03/17/2018
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