Provider Demographics
NPI:1245750884
Name:CHAI, EUNSU (MSPT, DPT)
Entity Type:Individual
Prefix:
First Name:EUNSU
Middle Name:
Last Name:CHAI
Suffix:
Gender:M
Credentials:MSPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 81ST ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3159
Mailing Address - Country:US
Mailing Address - Phone:646-727-5340
Mailing Address - Fax:
Practice Address - Street 1:4250 81ST ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3159
Practice Address - Country:US
Practice Address - Phone:646-727-5340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038819225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist