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1609281120
KWANGSU LEE
BAYSIDE, NY
NPI
1609281120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 031558)
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
-- KWANGSU LEE RPT
21915A NORTHERN BLVD
BAYSIDE, NY 11361-3525
Phone number: 718-423-3400
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Mailing Address
-- KWANGSU LEE RPT
21915A NORTHERN BLVD
BAYSIDE, NY 11361-3525
Phone number: 718-423-3400
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