Susanna M Park, LAC
Acupuncturist in Fort Lee, New Jersey
1316329477- Practice location
- 1265 15TH St., Unit #5b, Fort Lee, NJ 07024-1954
- Phone
- 201-655-4333
- Fax
- —
- Last updated
- August 2, 2022
Susanna Miran Park is an Acupuncturist based in Fort Lee, NJ. Susanna Miran Park practices in Fort Lee, NJ and has the professional credentials of LAC. The NPI Number for Susanna Miran Park is 1316329477 and holds a License No. 005495-1 (NY). The current practice location address for Susanna Miran Park is 1265 15TH St., Unit #5b, Fort Lee, NJ 07024-1954 and can be reached out via phone at 201-655-4333.
Provider Profile Details
- NPI Number
- 1316329477
- Provider Name
- Susanna Miran Park
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1265 15TH St., Unit #5b, Fort Lee, NJ 07024-1954
- Phone Number
- 201-655-4333
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 25, 2015
- Last Update Date
- August 2, 2022
- Certification Date
- August 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1265 15TH St.
Unit #5b
Fort Lee, NJ 07024-1954 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-1954
- Phone Number
- 201-655-4333
Provider Business Mailing Address Details
- Address
- 1265 15TH St.
Unit #5b
Fort Lee, NJ 07024-1954 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-1954
- Phone Number
- 201-655-4333
License Information
- License Number (1)
- 005495-1
- License State (1)
- NY
- Taxonomy (1)
- Acupuncturist · 171100000X
- License Number (2)
- 25MZ0012880
- License State (2)
- NJ
- Taxonomy (2)
- 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 Fort Lee, NJ
View all Acupuncturists in Fort Lee →Frequently Asked Questions
What is the NPI number of Susanna M Park, LAC?
The NPI number of Susanna M Park, LAC is 1316329477. It was assigned on June 25, 2015 and is currently active in the NPPES registry.
What is the specialty of Susanna M Park, LAC?
Susanna M Park, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 005495-1.
Where does Susanna M Park, LAC practice?
The practice location is 1265 15TH St., Unit #5b, Fort Lee, NJ 07024-1954. The office can be reached at 201-655-4333 (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 1316329477 directly on the NPPES registry website.