Individual
BYUNG HO DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
580 ROUTE 303 UNIT 11, BLAUVELT, NY 10913-1105
(845) 868-2515
(845) 868-2510
Mailing address
580 ROUTE 303 UNIT 11, BLAUVELT, NY 10913-1105
(845) 868-2515
(845) 868-2510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030178
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04619696
—
NY
Enumeration date
10/16/2014
Last updated
11/09/2022
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