Search › New York › 363LA2200X
Jiyeon Park
NPI 1457018384 · on the registry since 2021
Practice
- Address
- 2534 Crescent St Apt 2e
Astoria, NY 11102 - Phone
- (718) 730-2601
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-27
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