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1255814810
YOUNG DONG KIM
GREAT NECK, NY
NPI
1255814810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 040870)
Enumeration Date
2018-09-10
Last Update Date
2018-10-23
Business Address
YOUNG DONG KIM PT
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
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Mailing Address
YOUNG DONG KIM PT
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
Copy
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