Individual
AUDREY PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2314 N OCEAN AVE, FARMINGVILLE, NY 11738-2915
(631) 438-0400
Mailing address
25601 83RD AVE, GLEN OAKS, NY 11004-1646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P135969
NY
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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