Individual provider · Type 1 NPI

Jeongsoo Park

Student in an Organized Health Care Education/Training Program · Jamaica, NY

NPI number 1386028561 Active

Practice location

8268 164th St
Jamaica, NY 11432-1121

Call (929) 264-1293 Map

Mailing address

4227 213th St
Bayside, NY 11361-2854

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386028561

Jeongsoo Park's National Provider Identifier is 1386028561, issued on Jul 16, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica, NY. The record was last updated on Jul 16, 2015.