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Individual

BONGYONG CHOI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
24825 NORTHERN BLVD STE 2B, LITTLE NECK, NY 11362-1280
(347) 235-4742
(718) 691-4366
Mailing address
6707 CLOVERDALE BLVD, OAKLAND GARDENS, NY 11364-2742
(909) 567-3870
(718) 691-4366

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
571812731
DRIVER LICENSE
NY
Enumeration date
04/11/2019
Last updated
09/20/2022
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