Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SE JOONG PARK, DPT
Active Sole ProprietorSE JOONG PARK, DPT is a Physical Therapy Assistant healthcare provider located in BAYSIDE, New York. NPI 1285961177 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BAYSIDE, NY
Registration Details
- NPI Number
- 1285961177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2009 (16.768441555646 yrs)
- Last Updated
- Aug 18, 2020
- License
-
27912 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4711 BELL BLVDBAYSIDE, NY, 113613333Browse NY providers · Browse ZIP 11361
- Phone
- 7184235100
- Fax
- 7184235105
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BAYSIDE, NY
| Name | Credential | NPI |
|---|---|---|
| JOANN FERRARA | PT | 1306847694 |
| MR. DAVID PAUL NUPP | PT | 1548255789 |
| MS. LILY C. YEN | PT | 1396798443 |
| MR. ROBERT ANDREW MOREA | PT | 1679511877 |
| MRS. MARKELLA SPIRATOS | PT | 1497781157 |
| MR. FOTIS TSOLIS | BS PT | 1871697144 |
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.