Organization
NY MODERN PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INHYEOK SONG PT, DPT, LAC (DOCTOR OF PHYSICAL THERAPY)
(347) 827-0009
Entity
Organization
Contact information
Practice address
3821 150TH ST FL 1, FLUSHING, NY 11354-4927
(347) 827-0009
Mailing address
3821 150TH ST FL 1, FLUSHING, NY 11354-4927
(347) 827-0009
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
06/07/2025
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