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Organization
KWONS PHYSICAL THERAPY PC
Active
Organization
KWONS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAE KEUN KWON RPT (PRESIDENT)
(516) 627-1122
Entity
Organization
Contact information
Practice address
8 HILLCREST AVE, MANHASSET, NY 11030-2316
(516) 627-1122
Mailing address
8 HILLCREST AVE, MANHASSET, NY 11030-2316
(516) 627-1122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032992-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407164080
NPI
NY
Enumeration date
09/15/2013
Last updated
09/15/2013
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