Individual
DR. GRACE HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
51 BEVERLY RD, GREAT NECK, NY 11021-1444
(516) 466-1375
Mailing address
51 BEVERLY RD, GREAT NECK, NY 11021-1444
(516) 466-1375
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11570
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11570
—
NY
Enumeration date
11/23/2011
Last updated
11/23/2011
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