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General NPI Number Information
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NPI Number | 1669171104
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Entity Type | Organization
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Legal Business Name | YOUNG PARK ACUPUNCTURE PC
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 37 CONGERS RD FL 1
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City | NEW CITY
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State | NY
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Zip | 10956-5135
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Country | US
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Telephone | 718-637-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 37 CONGERS RD FL 1
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City | NEW CITY
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State | NY
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Zip | 10956-5135
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Country | US
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Telephone | 718-637-4780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOUNG PARK
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Credential |
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Telephone | 718-637-4780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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