Individual provider · Type 1 NPI

Jiwon Park, D.P.T., L.AC.

Specialist · Spring Valley, NY

NPI number 1437280161 Active

Practice location

1 Perlman Dr, Spring Valley
Spring Valley, NY 10977-5281

Fax (845) 517-3331

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X002753 (NY)
Specialist Primary 174400000X021333 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1437280161

Jiwon Park, D.P.T., L.AC.'s National Provider Identifier is 1437280161, issued on Mar 7, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Spring Valley, NY. The record was last updated on Jun 28, 2016.