Individual provider · Type 1 NPI

Jaesung Park, DC

Chiropractor · New York, NY

NPI number 1295365849 Active

Practice location

42 Broadway Ste 1219
New York, NY 10004-3834

Call (929) 412-2654 Map

Mailing address

1077 River Rd Apt 1008
Edgewater, NJ 07020-1357

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X38MC00767600 (NJ)
Chiropractor Primary 111N00000X013393 (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 1295365849

Jaesung Park, DC's National Provider Identifier is 1295365849, issued on Jan 23, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New York, NY. The record was last updated on Sep 16, 2026.