| NPI | 1063007862 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | SANG HO PARK President 718-701-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2023-02-02 |