Organization
STANLEY PARK PHYSICAL THERAPY, P.C.
Active
Other names
Bell Physical Therapy & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SEJOONG PARK D.P.T. (PHYSICAL THERAPIST/PRESIDENT)
(718) 423-5100
Entity
Organization
Contact information
Practice address
4711 BELL BLVD, BAYSIDE, NY 11361-3333
(718) 423-5100
Mailing address
370 HILLSIDE AVE, WILLISTON PARK, NY 11596-2106
(718) 423-5100
(718) 423-4105
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04029030
—
NY
Enumeration date
09/16/2013
Last updated
03/02/2025
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