Organization
WIND PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONGYONG CHOI (PRESIDENT)
(347) 235-4742
Entity
Organization
Contact information
Practice address
24825 NORTHERN BLVD STE 2B, LITTLE NECK, NY 11362-1280
(190) 956-7387
Mailing address
6707 CLOVERDALE BLVD, OAKLAND GARDENS, NY 11364-2742
(909) 567-3870
(718) 691-4366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571812731
DRIVER LICENSE
NY
Enumeration date
04/17/2019
Last updated
11/25/2022
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