Individual
MR. DANIEL KYUNG SUK MIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1010 NORTHERN BLVD STE 424, GREAT NECK, NY 11021-5330
(516) 336-2254
Mailing address
4218 163RD ST, FLUSHING, NY 11358-2618
(917) 280-6118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023869
NY
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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