Individual
BORAM YEOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9046 CORONA AVE, ELMHURST, NY 11373-4076
(516) 672-2886
Mailing address
9046 CORONA AVE, ELMHURST, NY 11373-4076
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013888-01
NY
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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