NPI 1689725103

Grace Physical Therapy P.C.

Organisation Exclusive Provider Organization Flushing, NY

Practice location

Address: 14250 Roosevelt Ave STE 1b, Flushing, NY 11354-6042
Phone: (718) 321-2511
Fax: (888) 327-6892

Authorised official

Name: Minsuk Kwak Kim
Title: Physical Therapist
Phone: (718) 321-2511

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 015390 (NY)

Other Exclusive Provider Organization providers in New York →

Registry record

NPI: 1689725103
Entity type: Organization
NPI issued: 12 Jan 2007
Record last updated: 17 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.