Individual
MS. AILEEN ONG CO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3920 62ND ST, 3RD FL, WOODSIDE, NY 11377-3632
(646) 704-5675
Mailing address
3920 62ND ST, 3RD FL, WOODSIDE, NY 11377-3632
(646) 704-5675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031066-1
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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