| NPI | 1508283987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BO-KWAN KANG Owner 917-204-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 030096) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2022-07-20 |