Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUNG SOO BAE, PTA, LMT
Active Sole ProprietorMR. JUNG SOO BAE, PTA, LMT is a Massage Therapist healthcare provider located in HAWTHORNE, New York. NPI 1619297462 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · HAWTHORNE, NY
Registration Details
- NPI Number
- 1619297462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2010 (16.236212425491 yrs)
- Last Updated
- Jun 3, 2010
- Licenses
-
006279-1 (NY)023459-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24 SAW MILL RIVER RDSUITE 204HAWTHORNE, NY, 105321541Browse NY providers · Browse ZIP 10532
- Phone
- 9146316969
- Fax
- 9146310943
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in HAWTHORNE, NY
| Name | Credential | NPI |
|---|---|---|
| SURRYA MUSTAFA | LMT | 1467132472 |
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.