Individual
DONGHYUN SEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
4332 22ND ST STE 203, LONG ISLAND CITY, NY 11101-5077
(646) 450-2475
Mailing address
1215 BROADWAY APT 310, ASTORIA, NY 11106-4896
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
038818
NY
Other
Enumeration date
07/20/2015
Last updated
10/02/2019
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