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

KI SUM FAN

Active

KI SUM FAN is a Physical Therapy Assistant healthcare provider located in WHITESTONE, New York. NPI 1467266122 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WHITESTONE, NY

Registration Details

NPI Number
1467266122
Provider Type
Individual
Gender
Male
NPI Issued
Feb 4, 2025 (1.3400214638931 yrs)
Last Updated
Feb 4, 2025
License
053617 (NY)

Practice Information

Address
15253 10TH AVE
WHITESTONE, NY, 113571252
Browse NY providers · Browse ZIP 11357
Phone
7185870850
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WHITESTONE, NY

Name Credential NPI
MAURYA L ORAMA PT 1164422960
MS. DAWN CHIMENTO P.T. 1467447383
MRS. SUSAN MARIE DUNLEAVY P.T. 1356336978
GEORGE PAPADOPOULOS PT 1154385862
ADAM ELBERG PT 1659324770
MATTHEW CAULIFFE PT 1548213531
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.