Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAE KEUN SONG
ActiveJAE KEUN SONG is a Physical Therapy Assistant healthcare provider located in FRESH MEADOWS, New York. NPI 1447111612 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FRESH MEADOWS, NY
Registration Details
- NPI Number
- 1447111612
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2025 (0.74180385587617 yrs)
- Last Updated
- Nov 18, 2025
- License
-
051095 (NY)
Practice Information
- Address
-
7157 161ST ST APT 2AFRESH MEADOWS, NY, 113654497Browse NY providers · Browse ZIP 11365
- Phone
- 9178322320
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FRESH MEADOWS, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH P. CAPOBIANCO | PT | 1780670646 |
| MR. PAUL J KROPAS | PT | 1447247390 |
| LAUREN A WRIGHT | PT | 1003901844 |
| JULIZA SANTIAGO | R.P.T | 1013087980 |
| RICARDO ARTURO SANTIAGO | R.P.T | 1023188836 |
| MRS. CLAIRE E TRENT | P T | 1447387030 |
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.