Sungguk Bae

NPI #1043710155 in Patchogue, New York

Provider Information

NPI Number
1043710155
Entity Type
Individual
Name
Sungguk Bae
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Feb 15, 2018
Last Updated
Feb 15, 2018

Practice Location

Address
21 CLEVELAND ST
ZIP Code
11772-2815
Phone
(631) 569-9373

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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