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Organization
HOLE IN ONE PHYSICAL THERAPY PC
Active
Organization
HOLE IN ONE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEONG HOON MOON DPT (PRESIDENT)
(516) 672-2886
Entity
Organization
Contact information
Practice address
14226 37TH AVE, #C BASEMENT, FLUSHING, NY 11354-4103
(718) 353-7575
(718) 353-7577
Mailing address
14226 37TH AVE, #C BASEMENT, FLUSHING, NY 11354-4103
(718) 353-7575
(718) 353-7577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030357
NY
Other
Enumeration date
01/17/2016
Last updated
01/17/2016
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