Individual
DASEUL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1752 PARK AVE, NEW YORK, NY 10035-2811
(646) 785-6349
Mailing address
235 E 95TH ST, APT #30L, NEW YORK, NY 10128-4012
(646) 785-6349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20053046
NY
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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