Individual
MR. MYUNG KYU PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
4671 EXPRESS DR N, RONKONKOMA, NY 11779-5562
(631) 471-5570
(631) 471-8470
Mailing address
4671 EXPRESS DR N, RONKONKOMA, NY 11779-5562
(631) 471-5570
(631) 471-8470
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001928
NY
172M00000X
Mechanotherapist
024328
NY
Other
Enumeration date
10/30/2009
Last updated
01/25/2011
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