Individual
RYAN JUNGSUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2619 30TH ST APT 1R, ASTORIA, NY 11102-2103
(347) 809-0421
Mailing address
2619 30TH ST APT 1R, ASTORIA, NY 11102-2103
(347) 809-0421
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00151700
NJ
Other
Enumeration date
04/07/2021
Last updated
04/20/2021
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