Individual
CHIBUM BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3521 149TH ST, 3A, FLUSHING, NY 11354-3713
(951) 231-8800
Mailing address
3521 149TH ST, 3A, FLUSHING, NY 11354-3713
(951) 231-8800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39956
NY
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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