Provider Demographics
NPI:1952006157
Name:YK MOVEMENT PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:YK MOVEMENT PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG DONG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-312-5797
Mailing Address - Street 1:5629 CLOVERDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2047
Mailing Address - Country:US
Mailing Address - Phone:201-312-5797
Mailing Address - Fax:347-502-6030
Practice Address - Street 1:7011 108TH ST APT 1J
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4405
Practice Address - Country:US
Practice Address - Phone:201-312-5797
Practice Address - Fax:347-502-6030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty