Organization
SHIELD PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAECHOL AHN PT (PHYSICAL THERAPIST)
(646) 600-3291
Entity
Organization
Contact information
Practice address
8523 BROADWAY, UNIT D, ELMHURST, NY 11373-5866
(718) 873-2303
(347) 438-1272
Mailing address
8523 BROADWAY, UNIT D, ELMHURST, NY 11373-5866
(718) 873-2303
(347) 438-1272
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
031899
NY
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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