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Organization

GREEN PHYSICAL THERAPY P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOUNG MI LEE PT (PRESIDENT)
(718) 845-8325
Entity
Organization

Contact information

Practice address
10111 101ST AVE, OZONE PARK, NY 11416-2523
(718) 845-8325
(866) 463-6125
Mailing address
10111 101ST AVE, OZONE PARK, NY 11416-2612
(718) 845-8325
(866) 463-6125

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
028079
NY

Other

Enumeration date
07/02/2015
Last updated
12/06/2024
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