| NPI | 1700011921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JI WON PARK Owner 914-902-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021333) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 002753) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |