Individual
MR. SANG JUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
136-18 35TH AVE, #18, FLUSHING, NY 11354
(917) 687-8121
Mailing address
3933 47TH ST, SUNNYSIDE, NY 11104-1419
(917) 687-8121
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 004315
NY
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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