Provider Demographics
NPI:1578175964
Name:SUNGWHAN CHOI PHYSICAL THERAPY P.C.
Entity Type:Organization
Organization Name:SUNGWHAN CHOI PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNGWHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-868-8157
Mailing Address - Street 1:217 VILLAGE CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-2110
Mailing Address - Country:US
Mailing Address - Phone:917-868-8157
Mailing Address - Fax:
Practice Address - Street 1:280 MADISON AVE RM 1211
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0809
Practice Address - Country:US
Practice Address - Phone:212-884-1110
Practice Address - Fax:877-498-0732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy