Junsu Park

NPI 1801540133 · on the registry since 2022

Practice

Address: 4125 Kissena Blvd Apt 6ee
Flushing, NY 11355
Phone: (646) 402-1951
Organisation at this address: Divine Dental Pc
Total Mobility Pt Pc
Your True Chiropractic Pc
Flushing Vision Center, Inc
Tooth Fairy Endodontics, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-23

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