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Organization
YD PHYSICAL THERAPY PC
Active
Organization
YD PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG DONG KIM DPT (PRESIDENT)
(201) 312-5797
Entity
Organization
Contact information
Practice address
5629 CLOVERDALE BLVD, BAYSIDE, NY 11364-2047
(201) 312-5797
Mailing address
5629 CLOVERDALE BLVD, BAYSIDE, NY 11364-2047
(201) 312-5797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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