Individual
JINWOO PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BROADHOLLOW RD STE 316, MELVILLE, NY 11747-4901
(917) 846-7921
Mailing address
150 BROADHOLLOW RD STE 316, MELVILLE, NY 11747-4901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012536
NY
Other
Enumeration date
07/21/2014
Last updated
06/25/2020
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