Organization
NY CORE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEJOONG PARK DPT (DPT/PRESIDENT)
(718) 423-5100
Entity
Organization
Contact information
Practice address
370 HILLSIDE AVE, WILLISTON PARK, NY 11596-2106
(516) 408-5115
(718) 423-5105
Mailing address
4711 BELL BLVD, BAYSIDE, NY 11361-3333
(718) 423-5100
(718) 423-5105
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
03/02/2025
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