Organization
S J PAHNG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG J PAHNG M.D. (PRESIDENT)
(718) 353-6835
Entity
Organization
Contact information
Practice address
21704 NORTHERN BLVD, SUITE 2, BAYSIDE, NY 11361-3577
(718) 353-6835
(718) 353-6854
Mailing address
21704 NORTHERN BLVD, SUITE 2, BAYSIDE, NY 11361-3577
(718) 353-6835
(718) 353-6854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP3300X
Pain Clinic/Center
188371
NY
261QR0400X
Rehabilitation Clinic/Center
Primary
188371
NY
Other
Enumeration date
06/08/2007
Last updated
11/25/2014
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