Park Avenue Physical Therapy PC
NPI #1982360038 in Stony Brook, New York
Provider Information
- NPI Number
- 1982360038
- Entity Type
- Organization
- Organization Name
- Park Avenue Physical Therapy PC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 12, 2021
- Last Updated
- Jan 6, 2024
Practice Location
- Address
- 207 HALLOCK RD STE 209
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-3082
- Phone
- (631) 338-8516
Authorized Official
- Name
- JESSIE J KIM, PT
- Title
- OWNER
- Phone
- (631) 338-8516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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