Individual
EUNJUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16315 NORTHERN BLVD STE 3, FLUSHING, NY 11358-2667
(917) 293-8329
Mailing address
16315 NORTHERN BLVD STE 3, FLUSHING, NY 11358-2667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009196-1
NY
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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