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)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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