# WOODSIDE MEDICAL REBABILITATION, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841490836
- **Authorized official:** MISS EUNYUNG KWON (BILLER)
- **Authorized official phone:** (718) 986-5841

## Contact information

- **Practice address:** 14370 SANFORD AVE, FLUSHING, NY 11355-2044
- **Practice address phone:** (718) 986-5841
- **Mailing address:** PO BOX 540975, FLUSHING, NY 11354-0975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007