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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUNGGUK BAE

Active

SUNGGUK BAE is a Physical Therapy Assistant healthcare provider located in PATCHOGUE, New York. NPI 1043710155 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PATCHOGUE, NY

Registration Details

NPI Number
1043710155
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2018 (8.4992357517364 yrs)
Last Updated
Feb 15, 2018
License
041263 (NY)

Practice Information

Address
21 CLEVELAND ST
PATCHOGUE, NY, 117722815
Browse NY providers · Browse ZIP 11772
Phone
6315699373
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PATCHOGUE, NY

Name Credential NPI
MICHELLE DOXSEE 1265461560
DANIEL MICHAEL MONDIELLO DPT 1760407340
BLAKE HOLLAND DPT 1922023514
WILLIAM KELTZ DPT 1649295213
MR. RUSSELL TAVERAS PT 1669587465
JOHN LOWE WILSON PT 1063527034
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.