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Organization

FOR THE TREATMENT OF ALLERGIES IN NEW YORK, P.C.

Active
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Organization

FOR THE TREATMENT OF ALLERGIES IN NEW YORK, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUNG PARK PHD (PRACTICE ADMINISTRATOR)
(650) 466-6177
Entity
Organization

Contact information

Practice address
414 E 75TH ST FL 3, NEW YORK, NY 10021-3442
(650) 466-6224
Mailing address
570 PRICE AVE STE 400, REDWOOD CITY, CA 94063-1452

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary

Other

Enumeration date
03/23/2022
Last updated
03/25/2022
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