Liberty Acupuncture & Integrative Medicine
Organization Active NPI Acupuncturist · River Vale, NJ
NPI 1730624628 · NPPES record last updated Oct 4, 2021
Key facts
- NPI
- 1730624628
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acupuncturist 171100000X
- License
- 25MZ00072700 (NJ)
- Legal business name
- LIBERTY ACUPUNCTURE & INTEGRATIVE MEDICINE
- Practice address
- 688 Westwood Ave Ste 2
River Vale, NJ 07675-6375 - Phone
- (201) 706-7905
- Fax
- (201) 706-7905
- NPI assigned
- Dec 30, 2016
- Organization subpart
- No
Authorized official
- Name
- Sung Ho Park
- Title
- Acupuncturist
- Phone
- (201) 706-7905
Practitioners 1
-
Sung Ho Park, L.AC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | 25MZ00072700 | NJ | Yes |
Addresses
Primary practice location
688 Westwood Ave Ste 2
River Vale, NJ 07675-6375
Mailing address
688 Westwood Ave Ste 2
River Vale, NJ 07675-6375
Phone (201) 706-7905
Other providers in River Vale, NJ
- Denise Keehn
- Rachel Nemzer Kravetz
- Lara Baskin PHD LLC
- Mark Lefelt
- Theresa Louise Levy
- Brendan George Liddy
- Caitlyn Frances Sambon Maranon
- Marcies Movement LLC
- Rebecca Massa
- Joseph Massaro
All providers in River Vale, NJ · Acupuncturist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.