Sung Ho Park, LAC
Acupuncturist in River Vale, New Jersey
1073864831- Practice location
- 688 Westwood Ave Ste 2, River Vale, NJ 07675-6375
- Phone
- 201-596-4040
- Fax
- —
- Last updated
- October 4, 2021
Sung Ho Park is an Acupuncturist based in River Vale, NJ. Sung Ho Park practices in River Vale, NJ and has the professional credentials of LAC. The NPI Number for Sung Ho Park is 1073864831 and holds a License No. AC01990 (TX). The current practice location address for Sung Ho Park is 688 Westwood Ave Ste 2, River Vale, NJ 07675-6375 and can be reached out via phone at 201-596-4040.
Provider Profile Details
- NPI Number
- 1073864831
- Provider Name
- Sung Ho Park
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 688 Westwood Ave Ste 2, River Vale, NJ 07675-6375
- Phone Number
- 201-596-4040
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 19, 2012
- Last Update Date
- October 4, 2021
- Certification Date
- October 4, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 688 Westwood Ave Ste 2
River Vale, NJ 07675-6375 - City
- River Vale
- State
- New Jersey
- Zip
- 07675-6375
- Phone Number
- 201-596-4040
Provider Business Mailing Address Details
- Address
- 688 Westwood Ave Ste 2
River Vale, NJ 07675-6375 - City
- River Vale
- State
- NJ
- Zip
- 07675-6375
- Phone Number
- 201-596-4040
License Information
- License Number (1)
- AC01990
- License State (1)
- TX
- Taxonomy (1)
- Acupuncturist · 171100000X
- License Number (2)
- 4265
- License State (2)
- NY
- Taxonomy (2)
- Acupuncturist · 171100000X
- License Number (3)
- 25MZ00072700
- License State (3)
- NJ
- Taxonomy (3)
- Acupuncturist · 171100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Acupuncturists near River Vale, NJ
View all Acupuncturists in River Vale →Frequently Asked Questions
What is the NPI number of Sung Ho Park, LAC?
The NPI number of Sung Ho Park, LAC is 1073864831. It was assigned on September 19, 2012 and is currently active in the NPPES registry.
What is the specialty of Sung Ho Park, LAC?
Sung Ho Park, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in TX under license number AC01990.
Where does Sung Ho Park, LAC practice?
The practice location is 688 Westwood Ave Ste 2, River Vale, NJ 07675-6375. The office can be reached at 201-596-4040 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073864831 directly on the NPPES registry website.