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1467754168
HYUNGTAE KIM
ELMONT, NY
NPI
1467754168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 027901)
Enumeration Date
2010-12-01
Last Update Date
2022-03-14
Business Address
HYUNGTAE KIM
115 MEACHAM AVE
ELMONT, NY 11003-2664
Phone number: 854-433-4335
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Mailing Address
HYUNGTAE KIM
115 MEACHAM AVE
ELMONT, NY 11003-2664
Phone number: 854-433-4335
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