Provider Demographics
NPI:1104190172
Name:RHEEM, SUNGHEE
Entity Type:Individual
Prefix:MRS
First Name:SUNGHEE
Middle Name:
Last Name:RHEEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 STRATFORD S
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2318
Mailing Address - Country:US
Mailing Address - Phone:516-801-1019
Mailing Address - Fax:
Practice Address - Street 1:42-19 FRANCIS LEWIS BLVD. #LL
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361
Practice Address - Country:US
Practice Address - Phone:718-631-1034
Practice Address - Fax:718-631-1035
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019941-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist