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General NPI Number Information
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NPI Number | 1578331617
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Entity Type | Organization
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Legal Business Name | SUJIN PHYSICAL THERAPY P. C.
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 225 W 35TH ST STE 303
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City | NEW YORK
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State | NY
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Zip | 10001-1904
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Country | US
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Telephone | 212-510-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 17163 46TH AVE # 2RR
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City | FLUSHING
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State | NY
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Zip | 11358-3332
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUJIN KANG
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Credential |
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Telephone | 917-566-6610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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