Individual
BACKHO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPY
Contact information
Practice address
6019 ROOSEVELT AVE STE 221, WOODSIDE, NY 11377-4375
(929) 232-5758
Mailing address
6019 ROOSEVELT AVE STE 221, WOODSIDE, NY 11377-4375
(929) 232-5758
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
007243
NY
225100000X
Physical Therapist
Primary
038794
NY
Other
Enumeration date
05/27/2019
Last updated
04/25/2026
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