Individual
SANGJEUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 MADISON AVE FL 4, NEW YORK, NY 10022-1738
(760) 916-6941
(917) 905-4370
Mailing address
3432 97TH ST, FLUSHING, NY 11368-1032
(760) 916-6941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
299931
CA
2251X0800X
Orthopedic Physical Therapist
Primary
048051-01
NY
2251X0800X
Orthopedic Physical Therapist
40QA02235700
NJ
Other
Enumeration date
02/19/2021
Last updated
08/11/2025
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