Most Relevant Information
Provider Data
| NPI Number: | 1003568809 |
| Provider Name: | JIN HYUN PARK LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 090009 |
Most Important Dates
| Enumeration Date: | 01/23/2022 |
| Last Updated: | 01/23/2022 |
Provider Practice Location
9009 VAN WYCK EXPY
JAMAICA
NY
114354200
Practice Location Phone/Fax
| Phone: | 7182065575 |
| Fax: |
Provider Mailing Location
5160 VAN KLEECK ST APT 5H
ELMHURST
NY
113734259
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |