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Contact Information

MYUNG K PARK, L.AC.
4671 EXPRESS DR N
RONKONKOMA, NY11779-5562
 Phone: 631-471-5570
 Fax: 631-471-8470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for MYUNG K PARK · (Male)

NPI # 1831425545
Status Active
Credentials L.AC.
Entity Individual
Enumeration date 10/30/2009
Last updated 01/25/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 001928
  • NY License # 024328
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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