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Organization
NY PRIDE PHYISCAL THERAPY, P.C.
Active
Organization
NY PRIDE PHYISCAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOHYUNG KIM P.T. (PRESIDENT)
(718) 445-2346
Entity
Organization
Contact information
Practice address
13682 39TH AVE, 6TH FLOOR, FLUSHING, NY 11354-5515
(718) 445-2346
(718) 445-2348
Mailing address
13682 39TH AVE, 6TH FLOOR, FLUSHING, NY 11354-5515
(718) 445-2346
(718) 445-2348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019722-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02590958
—
NY
Enumeration date
03/17/2015
Last updated
03/17/2015
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