JAE KWAN PARK NPI 1578229324

NPI Information

NPI: 1578229324
Provider Name: JAE KWAN PARK
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
5715 256TH ST
LITTLE NECK, NY
ZIP 11362
Phone: (917) 545-3143
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Jae Kwan Park is an acupuncturist in Little Neck, NY. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Jae Kwan Park NPI is 1578229324. 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:

5715 256TH ST
LITTLE NECK, NY
ZIP 11362-140
Phone: (917) 545-3143

The enumeration date for this NPI number is 11/15/2021 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		005860	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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