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Organization
PARK AVENUE PHYSICAL THERAPY PC
Active
Organization
PARK AVENUE PHYSICAL THERAPY PC
Active
Other names
Brook Physical Therapy PC
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE J KIM PT (OWNER)
(631) 338-8516
Entity
Organization
Contact information
Practice address
207 HALLOCK RD STE 209, STONY BROOK, NY 11790-3082
(631) 338-8516
(518) 984-3120
Mailing address
207 HALLOCK RD STE 209, STONY BROOK, NY 11790-3082
(631) 338-8516
(518) 984-3120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
01/06/2024
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