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KI SUM FAN
Physical Therapist
NPI: 1467266122IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
053617(NY)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2024
Contact & Hours
- Address
- 15253 10TH AVE
WHITESTONE, NY 11357 - Phone
- (718) 587-0850
Quick Facts
- NPI
- 1467266122
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 2
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