NPI | 1356580039 |
---|---|
Doing Business As | (DBA) DR. PARK'S COMPREHENSIVE PAIN CLINIC |
Entity Type | Organization |
Authorized Contact | KI YOUNG PARK President 718-463-1133 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 200978) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2009-06-02 |