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Organization
KOAM PHYSICAL THERAPY, P.C.
Active
Organization
KOAM PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON OK KIM P.T. (PRESIDENT)
(718) 463-2700
Entity
Organization
Contact information
Practice address
16410 NORTHERN BLVD STE 201, FLUSHING, NY 11358-2668
(718) 463-2700
(718) 463-6174
Mailing address
16410 NORTHERN BLVD STE 201, FLUSHING, NY 11358-2668
(718) 463-2700
(718) 463-6174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021153
NY
Other
Enumeration date
09/01/2007
Last updated
11/01/2024
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