JAE KWAN PARK

LITTLE NECK, NY
NPI1578229324
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: NY  005860)
Enumeration Date2021-11-15
Last Update Date2021-11-15
Business Address
JAE KWAN PARK
5715 256TH ST
LITTLE NECK, NY 11362-2140
Phone number: 917-545-3143
Mailing Address
JAE KWAN PARK
5715 256TH ST
LITTLE NECK, NY 11362-2140
Phone number: 917-545-3143