Organization
BAN PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYEONGJI BAN (PROVIDER)
(224) 423-8053
Entity
Organization
Contact information
Practice address
290 MADISON AVE STE 601, NEW YORK, NY 10017-6308
(224) 423-8053
(973) 915-7116
Mailing address
290 MADISON AVE STE 601, NEW YORK, NY 10017-6308
(224) 423-8053
(973) 915-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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