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3830 Parsons Blvd Ste 1b, Flushing, NY 11354-5840 | |
(718) 321-0205 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 3830 Parsons Blvd Ste 1b, Flushing, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841418902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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171100000X | Acupuncturist | 4395 (New York) | Secondary |
225100000X | Physical Therapist | 026153 (New York) | Primary |
Provider Name | Changyong Chi |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184624652 PECOS PAC ID: 6709836869 Enrollment ID: I20050126000774 |
Mailing Address | Practice Location Address |
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3830 Parsons Blvd Ste 1b, Flushing, NY 11354-5841 Ph: (718) 521-4206 | 3830 Parsons Blvd Ste 1b, Flushing, NY 11354-5840 Ph: (718) 321-0205 |