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1285961177
SE JOONG PARK
BAYSIDE, NY
NPI
1285961177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 27912)
Enumeration Date
2009-11-12
Last Update Date
2020-08-18
Business Address
SE JOONG PARK DPT
4711 BELL BLVD
BAYSIDE, NY 11361-3333
Phone number: 718-423-5100
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Mailing Address
SE JOONG PARK DPT
4711 BELL BLVD
BAYSIDE, NY 11361-3333
Phone number: 718-423-5100
Copy
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