Individual
AMY KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5632 175TH PL, UNIT A, FRESH MEADOWS, NY 11365-1628
(646) 388-0830
Mailing address
5632 175TH PL, UNIT A, FRESH MEADOWS, NY 11365-1628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030686
NY
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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