Organization
WOODSIDE MEDICAL REBABILITATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EUNYUNG KWON (BILLER)
(718) 986-5841
Entity
Organization
Contact information
Practice address
14370 SANFORD AVE, FLUSHING, NY 11355-2044
(718) 986-5841
Mailing address
PO BOX 540975, FLUSHING, NY 11354-0975
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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