| NPI | 1295992014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNGSOO OH Owner 718-352-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 16067) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 03477) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2013-11-26 |