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Contact Information

JONGMIN PARK, LMT
1077 NORTHERN BLVD FL2
ROSLYN, NY11576
 Phone: 516-743-3050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for JONGMIN PARK · (Male)

NPI Number 1578364188
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 03/20/2025
Last updated 03/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 022612-01
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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