Park, Susanna Miran

Park, Susanna Miran is an sole proprietor health care provider with primary practice located at 1265 15Th St. Unit #5B, Fort Lee NJ 07024-1954. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Park, Susanna Miran can be contacted via phone (201) 655-4333.

Contact Information

Primary practice address
1265 15Th St. Unit #5B Fort Lee NJ 07024-1954
Phone: (201) 655-4333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 005495-1 New York
Other Service Providers / Acupuncturist 171100000X 25MZ0012880 New Jersey

Profile Details

NPI number 1316329477
LBN Legal business name Park, Susanna Miran
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2015
Last updated Aug 2nd, 2022 - about 4 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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