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General NPI Number Information
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NPI Number | 1669859492
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Entity Type | Organization
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Legal Business Name | NAMYOUNG BAEK PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 224 W 35TH ST STE 708
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City | NEW YORK
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State | NY
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Zip | 10001-2536
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Country | US
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Telephone | 347-534-1233
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Fax | 347-534-1233
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Provider Business Mailing Address
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Address Line | 224 W 35TH ST STE 708
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City | NEW YORK
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State | NY
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Zip | 10001-2536
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Country | US
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Telephone | 347-534-1233
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Fax | 347-534-1233
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | NAMYOUNG BAEK
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Credential |
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Telephone | 646-267-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 036349
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License Number State | NY
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