Individual
SUSAN JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3090 BELTAGH AVE, WANTAGH, NY 11793-2519
(516) 781-1452
Mailing address
4 SHEILA DR, SYOSSET, NY 11791-6731
(516) 822-7155
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
015160
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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