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:
Health care specialties
| Specialty | Code | License # | 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 3 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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