Organization
CHL PHYSICAL THERAPY OF LI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANGHUN LEE (PRESIDENT)
(347) 659-4810
Entity
Organization
Contact information
Practice address
432 1ST ST, MINEOLA, NY 11501
(347) 659-4810
Mailing address
432 1ST ST, MINEOLA, NY 11501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036145
NY
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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