Sangjeung Kim, | |
3432 97th St, Flushing, NY 11368-1032 | |
(760) 916-6941 | |
Not Available |
Full Name | Sangjeung Kim |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 3432 97th St, Flushing, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255924254 | NPI | - | NPPES |
Provider Name | Doskalchuk Physical Therapy Corporation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437715414 PECOS PAC ID: 8022347780 Enrollment ID: O20190906000461 |
Mailing Address | Practice Location Address |
---|---|
Sangjeung Kim, 3432 97th St, Flushing, NY 11368-1032 Ph: (760) 916-6941 | Sangjeung Kim, 3432 97th St, Flushing, NY 11368-1032 Ph: (760) 916-6941 |
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