Individual
DR. DAE K KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
146 BETHEL RD, ALBERTSON, NY 11507-2112
(516) 741-1620
Mailing address
8 HILLCREST AVENUE, MANHASSET, NY 11030-2316
(845) 239-5922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032992
NY
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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