Park, Jiyeon

Park, Jiyeon is an individual health care provider with primary practice located at 2534 Crescent St Apt 2E , Astoria NY 11102-2925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Park, Jiyeon can be contacted via phone (718) 730-2601.

Contact Information

Primary practice address
2534 Crescent St Apt 2E Astoria NY 11102-2925
Phone: (718) 730-2601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F310534-01 New York

Profile Details

NPI number 1457018384
LBN Legal business name Park, Jiyeon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2021
Last updated Nov 27th, 2021 - about 5 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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