Organization
BAYSIDE PROFESSIONAL PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAEHYUN PARK DPT (PHYSICAL THERAPIST/OWNER)
(718) 224-2250
Entity
Organization
Contact information
Practice address
20801 NORTHERN BLVD STE 301, BAYSIDE, NY 11361-3118
(718) 224-2250
(718) 224-2250
Mailing address
20801 NORTHERN BLVD STE 301, BAYSIDE, NY 11361-3118
(718) 224-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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