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Organization
EVERGREEN GABLES PHYSICAL THERAPY PC
Active
Organization
EVERGREEN GABLES PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONG HYOUK PARK DPT (PRESIDENT)
(347) 242-0032
Entity
Organization
Contact information
Practice address
6424 11TH AVE, BROOKLYN, NY 11219-5639
(718) 333-5369
Mailing address
87 MANORHAVEN BLVD, PORT WASHINGTON, NY 11050-1521
(347) 242-0032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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