| Jaesung Park, DC | |
|
42 Broadway Ste 1219, New York, NY 10004-3834 | |
| (929) 412-2654 | |
| Not Available |
| Full Name | Jaesung Park |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 42 Broadway Ste 1219, New York, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295365849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00767600 (New Jersey) | Secondary |
| 111N00000X | Chiropractor | 013393 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jaesung Park, DC 1077 River Rd Apt 1008, Edgewater, NJ 07020-1357 Ph: (475) 988-7695 | Jaesung Park, DC 42 Broadway Ste 1219, New York, NY 10004-3834 Ph: (929) 412-2654 |
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