Individual
MIJUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 BROADWAY RM 1801, NEW YORK, NY 10006-1908
(201) 744-3345
Mailing address
111 BROADWAY RM 1801, NEW YORK, NY 10006-1908
(201) 744-3345
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
08/06/2020
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