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1104088798
KI TAE MAENG
FLUSHING, NY
NPI
1104088798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 025817)
Enumeration Date
2008-06-26
Last Update Date
2024-10-22
Business Address
KI TAE MAENG PT
3625 PARSONS BLVD UNIT L1
FLUSHING, NY 11354
Phone number: 718-353-7575
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Mailing Address
KI TAE MAENG PT
3625 PARSONS BLVD APT L1
FLUSHING, NY 11354-5929
Phone number: 718-353-7575
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