CHAN JIN PARK


Address: 21537 48th Ave Apt 2b, Bayside, NY 11364-1359
Phone: 3475492275

CHAN JIN PARK (NPI# 1508404492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508404492
Entity Type Individual
Full Name CHAN JIN PARK
Credential L.AC
Practice Address 21537 48th Ave Apt 2b
Bayside
NY 11364-1359
Practice Telephone 3475492275
Mailing Telephone 3475492275
Enumeration Date 2019-12-11
Last Update Date 2019-12-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist 5471 NY Other Service Providers

Other Providers CHAN PARK

NPI Name Taxonomy Address Enumeration
1144828963 Chan Ho Park Physician Assistant 4721 Oakwood Ave, Los Angeles, CA 90004-3112 2020-10-14
1700147378 Chan H Park Internal Medicine 22226 Cliff Ave S, #304, Des Moines, WA 98198-4619 2012-05-30
1760644280 Chan Woo Park Otolaryngology 90 Bergen Street- Suite 8100, Department of Otolaryngology, Doc Building, Newark, NJ 07103 2008-06-26
1700092103 Chan Hoon Park Family Medicine 905 Victory Hwy, Slatersville, RI 02876 2007-05-15
1871617027 Chan M Park Dentist 111 Deerwood Rd Ste 130, San Ramon, CA 94583-2194 2007-03-16
1457467037 Chan M Park Family Medicine 6460 Greensboro Rd, Ridgeway, VA 24148-3478 2006-08-23
1619940681 Chan S. Park Emergency Medicine Michumi, Pllc Dba Med Express of Williamsburg, Va, 120 Monticello Ave, Williamsburg, VA 23185 2006-02-09
1255336665 Chan H. Park Family Medicine 9500 Stockdale Hwy, Suite 203, Bakersfield, CA 93311-3620 2005-06-14
1366071045 Chan Young Park Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd Bldg 500, Los Angeles, CA 90073-1003 2020-04-05
1932498722 Chan Jerome Park Thoracic Surgery (Cardiothoracic Vascular Surgery) 600 Highland Ave, Madison, WI 53792-0001 2011-03-31

Office Location

Street Address 21537 48TH AVE APT 2B
City BAYSIDE
State NY
Zip Code 11364-1359

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013566363 Emily D'auria Counselor Fort Totten Bldg 413a, Bayside, NY 11364 2019-09-10
1780154377 Cherry Ye Pharmacist 5601 215th St, Bayside Hills, NY 11364 2018-11-27
1114420825 Chuenbong Jonathan Ho Dentist 6154 Springfield Blvd, Oakland Gardens, NY 11364 2018-03-09
1700303419 Jason Jin Li Pharmacist 58 32 218st, Bayside, NY 11364 2017-08-23
1265958342 Rebecca Adar Occupational Therapist 78- 26 220th Place, Bayside, NY 11364 2017-08-21
1700320298 Approaches In Learning for Special Kids Inc Home Health 73-11 210th Street, Apt 3n, Oakland Gardens, NY 11364 2016-12-19
1811448665 Connie Aronson Specialist 208-10 Richland Avenue, Hollis Hills, NY 11364 2016-10-17
1154716892 Dianne James Physical Therapy Assistant 224-09b 67th Avenue, Oakland Gardens, NY 11364 2015-03-31
1558779447 Lai Chu Elizabeth Sin Occupational Therapist 22459a Kingsbury Avenue, Oakland Gardens, NY 11364 2014-07-24
1023459849 William Choi Pharmacist 21970 64th Ave #c, Bayside, NY 11364 2013-07-09
Find all providers in zip 11364

Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194341107 Yy Wellcare Acupuncture P.c Acupuncturist 3504 208th St, Bayside, NY 11361-1330 2020-06-25
1235770744 Pyung Gang Cho Acupuncturist 20935 Northern Blvd Unit 215, Bayside, NY 11361-3134 2019-10-05
1720642689 Kang Tae Lee Acupuncturist 5732 226th St Fl 1, Bayside, NY 11364-2045 2019-04-25
1013482629 Ji Hong Lim Acupuncturist 1589 208th Pl Fl 2, Bayside, NY 11360-1121 2018-10-10
1780166520 Keun Ae Park Acupuncturist 21406 18th Ave, Bayside, NY 11360-1636 2018-08-29
1942782701 Aca Acupuncture Bayside P.C. Acupuncturist 200-14 44th Ave, 2nd Floor, Bayside, NY 11361-2510 2018-08-29
1528546785 Michiko Yoshifuji Acupuncturist 20560 Brian Cres Fl 3, Bayside, NY 11360-1142 2018-07-31
1063908531 Hongik Acupuncture N.y. P.C. Acupuncturist 21441 42nd Ave Ste 4c, Bayside, NY 11361 2018-07-07
1093228892 Symmetry Acupuncture, P.C. Acupuncturist 21519 39th Ave # C, Bayside, NY 11361-2114 2017-11-15
1528580032 Eun Kyung Kim Acupuncturist 3631 Corporal Stone St, Bayside, NY 11361-2137 2017-07-17
Find all providers in BAYSIDE

Competitor

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City BAYSIDE
Zip Code 11364

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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