Organization
8TH AVE PHYSICAL THERAPY PC
Active
Organization
8TH AVE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG RYEOL PARK RPT (PRESIDENT)
(718) 423-3400
Entity
Organization
Contact information
Practice address
21915A NORTHERN BLVD, BAYSIDE, NY 11361-3525
(718) 423-3400
(888) 391-2482
Mailing address
219-15A NORTHERN BLVD, BAYSIDE, NY 11361-3525
(718) 423-3400
(888) 391-2482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679742274
NPI
FL
Enumeration date
12/14/2010
Last updated
10/06/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up