Search › New York › 156FX1800X
Jung Park
NPI 1417302621 · on the registry since 2016
Practice
- Address
- 11112 Atlantic Ave
South Richmond Hill, NY 11419 - Phone
- (718) 846-0824
- Organisation at this address
- Mak 92 Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York