Jeongsoo Park is a student in an organized health care education training program in Jamaica, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jeongsoo Park NPI is 1386028561. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8268 164TH ST
JAMAICA, NY
ZIP 11432-121
Phone: (929) 264-1293
The enumeration date for this NPI number is 7/16/2015 and was last updated on 7/16/2015.