Female

Jiyeon Park

Adult Health Nurse Practitioner in Astoria, NY(View on Map)

Full Name

Jiyeon Park

NPI Number

1457018384

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/27/2021

Specialties

(Taxonomies)

Code

363LA2200X

Primary Taxonomy

Yes

Licenses

State

New York

License Number

F310534-01

Contact
Information

Purpose

Mailing
Location

Address

2534 CRESCENT ST APT 2E
2534 CRESCENT ST APT 2E

City

Astoria
Astoria

State

NY
NY

Postal Code

11102-2925
11102-2925

Country

US
US

Telephone Number

(718) 730-2601
(718) 730-2601

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/27/2021

Provider Address

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