OrganizationActive
8th Ave Physical Therapy PC
NPI 1588967475 · Physical Therapist · Bayside, NY
Provider details
- NPI number
- 1588967475
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jung Ryeol Park, President(718) 423-3400
- License
- 023674 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21915a Northern Blvd
Bayside, NY 11361-3525
Phone: (718) 423-3400
Fax: (888) 391-2482
Approximate (ZIP-level) locationGet directions
Mailing address
219-15a Northern Blvd
Bayside, NY 11361-3525
Registry dates
- Enumerated
- 2010-12-14
- Last updated
- 2016-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.