Individual
CHANGYOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14945 NORTHERN BLVD, APT 3N, FLUSHING, NY 11354-3897
(718) 702-8085
Mailing address
14945 NORTHERN BLVD, APT 3N, FLUSHING, NY 11354-3897
(718) 702-8085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032517
NY
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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