Organization
YB PHYSICLA THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG BEOM KIM PT (OWNER)
(201) 466-2046
Entity
Organization
Contact information
Practice address
50 E 42ND ST RM 1501A, NEW YORK, NY 10017-5423
(201) 466-2046
Mailing address
19515B 67TH AVE APT 2B, FRESH MEADOWS, NY 11365-3925
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
03/12/2020
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