Provider Demographics
NPI:1295019529
Name:NOW PAIN CLINC PC
Entity Type:Organization
Organization Name:NOW PAIN CLINC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYISCAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SUNGEUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-270-6313
Mailing Address - Street 1:21 GRAND AVE #502
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650
Mailing Address - Country:US
Mailing Address - Phone:201-941-0993
Mailing Address - Fax:888-404-1323
Practice Address - Street 1:21 GRAND AVE #502
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650
Practice Address - Country:US
Practice Address - Phone:201-941-0993
Practice Address - Fax:888-404-1323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01165400320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities