| Changgyu Park, | |
|
500 Dekalb Ave Ste 321, Brooklyn, NY 11205-4808 | |
| (646) 498-3398 | |
| Not Available |
| Full Name | Changgyu Park |
|---|---|
| Gender | Male |
| Speciality | Acupuncturist |
| Location | 500 Dekalb Ave Ste 321, Brooklyn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033516737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 5412 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Changgyu Park, Po Box 604246, Bayside, NY 11360-4246 Ph: (646) 498-3398 | Changgyu Park, 500 Dekalb Ave Ste 321, Brooklyn, NY 11205-4808 Ph: (646) 498-3398 |
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