| NPI | 1033950092 |
|---|---|
| Former Legal Business Name | NEW BROADWAY PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | SAMUEL SANGWON YOO President 646-240-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |