Kim, Soon Ok

Kim, Soon Ok is an sole proprietor health care provider with primary practice located at 16410 Northern Blvd Ste 201 , Flushing NY 11358-2647. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kim, Soon Ok can be contacted via phone (718) 463-2700.

Contact Information

Primary practice address
16410 Northern Blvd Ste 201 Flushing NY 11358-2647
Phone: (718) 463-2700
Fax: (718) 463-6174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 021153-1 New York

Profile Details

NPI number 1992844260
LBN Legal business name Kim, Soon Ok
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jan 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992844260 NPPES
New York MEDICAID 2263445

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