Park, Jeongsoo

Park, Jeongsoo is an individual health care provider with primary practice located at 8268 164Th St , Jamaica NY 11432-1121. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Park, Jeongsoo can be contacted via phone (929) 264-1293.

Contact Information

Primary practice address
8268 164Th St Jamaica NY 11432-1121
Phone: (929) 264-1293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1386028561
LBN Legal business name Park, Jeongsoo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2015
Last updated Jul 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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