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1871144139
GRACE EUNBI SONG
GREAT NECK, NY
NPI
1871144139
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Former Name
GRACE JEONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 044918-01)
Enumeration Date
2019-09-26
Last Update Date
2021-02-15
Business Address
GRACE EUNBI SONG DPT
90 E SHORE RD
GREAT NECK, NY 11023-2409
Phone number: 516-684-1122
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Mailing Address
GRACE EUNBI SONG DPT
3342 149TH ST FL 2
FLUSHING, NY 11354-3242
Phone number: 646-266-8564
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