Individual
DR. BONGHAK JI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT. DPT. OCS. CSCS.
Contact information
Practice address
15007 BAYSIDE AVE FL 1, FLUSHING, NY 11354-2432
(347) 209-3684
(315) 570-9902
Mailing address
14021 32ND AVE APT 6CN, FLUSHING, NY 11354-2640
(347) 209-3684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
035793
NY
2251X0800X
Orthopedic Physical Therapist
Primary
—
NY
Other
Enumeration date
05/21/2019
Last updated
04/20/2025
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