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Individual

DR. KYUNG WON PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2 W 46TH ST STE 505, NEW YORK, NY 10036-4552
(646) 822-0588
(929) 224-0712
Mailing address
2 W 46TH ST STE 505, NEW YORK, NY 10036-4552
(646) 822-0588
(929) 224-0712

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034904
NY
2251G0304X
Geriatric Physical Therapist
034904
NY
2251P0200X
Pediatric Physical Therapist
034904
NY
2251S0007X
Sports Physical Therapist
034904
NY
2251X0800X
Orthopedic Physical Therapist
Primary
034904
NY

Other

Enumeration date
11/09/2015
Last updated
02/26/2026
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