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Organization
GENUINE SPEECH THERAPY P.C.
Active
Organization
GENUINE SPEECH THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNGKUK PARK (OWNER/PRESIDENT)
(718) 578-8708
Entity
Organization
Contact information
Practice address
2613 21ST ST, ASTORIA, NY 11102-3544
(718) 626-4800
Mailing address
2613 21ST ST, ASTORIA, NY 11102-3544
(718) 578-8708
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
09/27/2024
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