SUSANNA MIRAN PARK (NPI# 1316329477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316329477 |
| Entity Type | Individual |
| Full Name | SUSANNA MIRAN PARK |
| Credential | L.AC. |
| Practice Address |
85 South Broadway Nyack NY 10960 |
| Mailing Address |
1265 15th St. Unit #5b Fort Lee NJ 07024-1954 |
| Practice Telephone | 2016554333 |
| Mailing Telephone | 2016554333 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 005495-1 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063759165 | Susanna Myrim Park | Chiropractor | 9601 Katy Fwy 430, Houston, TX 77024-1356 | 2013-01-09 |
| 1528140928 | Susanna Jung-a Park | Specialist | 11515 El Camino Real, Suite 100, San Diego, CA 92130-2045 | 2006-10-19 |
| 1902881972 | Susanna S. Park | Ophthalmology | 4860 Y St, Suite 2400, Sacramento, CA 95817-2307 | 2005-12-13 |
| Street Address |
85 SOUTH BROADWAY |
| City | NYACK |
| State | NY |
| Zip Code | 10960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164963443 | Urmi Vaghela | Behavioral Analyst | 99 Main St Suite 208, Vital Behavior Services, Inc., Nyack, NY 10960 | 2017-03-20 |
| 1063968873 | Ebony S. Owens | Behavioral Analyst | 204 Nyack Plaza, Nyack, NY 10960 | 2016-08-31 |
| 1306299979 | Timothy O'shea Jr. | Registered Nurse | 28 Central Ave North, Nyack, NY 10960 | 2016-07-19 |
| 1114378460 | Abilene Murassaint | Licensed Practical Nurse | 65 Waldron Ave, Nyack, NY 10960 | 2016-06-28 |
| 1114388261 | United States Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 286 S. Boulevard, Nyack, NY 10960 | 2016-03-17 |
| 1851724769 | Molly Hahn | Social Worker | 292 Main St Ste 4, Nyack, NY 10960 | 2013-08-14 |
| 1952648511 | Courtney Lia Sturm | Speech-Language Pathologist | 21 Burd Street, Nyack, NY 10960 | 2013-01-15 |
| 1942545389 | Manni Chahal | Registered Nurse | 3 Waldron Ave, Nyack, NY 10960 | 2012-12-11 |
| 1376894394 | Barbara Lewis Baker | Social Worker | 339 North Broadway, The Summit School and Children's Residence Center, Upper Nyack, NY 10960 | 2012-10-01 |
| 1134476435 | Rachelle Larrieux | Licensed Practical Nurse | 123 Depew Avenue, Nyack, NY 10960 | 2012-08-07 |
| Find all providers in zip 10960 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518400167 | Sundala Wellness, Inc | Acupuncturist | 2 Aldine Ln, Nyack, NY 10960-2508 | 2016-11-30 |
| 1619274537 | Jodie Tassello | Acupuncturist | 97 S Broadway, Nyack, NY 10960-4434 | 2011-02-14 |
| 1932323995 | Nancy A. Fisher | Acupuncturist | 134 N Broadway, Nyack, NY 10960 | 2007-04-12 |
| 1780759738 | Neil R. Borodkin | Acupuncturist | 50 6th Ave, Nyack, NY 10960-1612 | 2006-11-22 |
| 1679198865 | Joksimo Co Inc. | Acupuncturist | 150 S Broadway, Nyack, NY 10960-4422 | 2020-06-12 |
| 1104479260 | Lauren Dulberg | Acupuncturist | 265 N Highland Ave Ste 105, Nyack, NY 10960-1444 | 2019-07-18 |
| 1003468356 | Two Rivers Acupuncture & Wellness | Acupuncturist | 265 N Highland Ave Ste 105, Nyack, NY 10960-1444 | 2019-07-16 |
| 1992357255 | Kaity Yim | Acupuncturist | 265 N Highland Ave Ste 105, Nyack, NY 10960-1444 | 2019-07-16 |
| 1073165338 | Caitlin Donovan | Acupuncturist | 310 N Broadway, Nyack, NY 10960-1643 | 2019-07-16 |
| 1811424526 | Lauren Dulberg | Acupuncturist | 265 N Highland Ave Ste 105, Nyack, NY 10960-1444 | 2017-05-12 |
| Find all providers in NYACK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.