Provider Demographics
NPI:1871376566
Name:HP PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:HP PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DPT
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUN SUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-827-3469
Mailing Address - Street 1:105 NEWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3901
Mailing Address - Country:US
Mailing Address - Phone:845-827-3469
Mailing Address - Fax:516-740-2803
Practice Address - Street 1:105 NEWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3901
Practice Address - Country:US
Practice Address - Phone:845-827-3469
Practice Address - Fax:516-740-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty