Individual
KI CHI CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
5008 7TH AVE STE 1, BROOKLYN, NY 11220-2167
(718) 210-1101
(718) 210-5238
Mailing address
5008 7TH AVE STE 1, BROOKLYN, NY 11220-2167
(718) 210-1101
(718) 210-5238
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
027604
NY
Other
Enumeration date
04/26/2010
Last updated
07/02/2019
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