Individual provider · Type 1 NPI
Andrew J. Park, DC, MS, MS LAC
Chiropractor · New York, NY
NPI number
1063774693
Active
Practice location
850 7th Ave, Suite 302
New York, NY 10019-5230
Fax (646) 688-4765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X012187-1 (NY) |
| Nutrition Chiropractor | 111NN1001X | X012187-1 (NY) |
| Sports Physician Chiropractor | 111NS0005X | X012187 (NY) |
| Acupuncturist | 171100000X | 004991 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1063774693
Andrew J. Park, DC, MS, MS LAC's National Provider Identifier is 1063774693, issued on Jun 11, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New York, NY. The record was last updated on Jan 31, 2013.