Organization
CHIM HERB & COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG HO PARK L.AC. (OWNER)
(718) 637-4780
Entity
Organization
Contact information
Practice address
4634 161ST ST, FLUSHING, NY 11358-3637
(718) 637-4780
Mailing address
7914 254TH ST, FLORAL PARK, NY 11004-1204
(718) 637-4780
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005628
NY
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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