Organization
FLUSHING PHYSICAL THERAPY, CHIROPRACTIC, & ACUPUNCTURE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANGWOO MAH DC (MANAGING MEMBER)
(718) 746-4919
Entity
Organization
Contact information
Practice address
15001 NORTHERN BLVD FL 1, FLUSHING, NY 11354-3896
(718) 746-4919
(718) 746-4920
Mailing address
15001 NORTHERN BLVD FL 1, FLUSHING, NY 11354-3896
(718) 746-4919
(718) 746-4920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X009835
LICENSE
NY
Enumeration date
10/30/2019
Last updated
11/27/2019
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