Jae Keun Song
Jae Keun Song is a Physical Therapist in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2025.
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
7157 161st St Apt 2AFresh Meadows, NY 11365-4497
Phone: (917) 832-2320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 051095 (NY) |
|---|
Record details
| NPI number | 1447111612 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 18, 2025 |
| Last updated in NPPES | November 18, 2025 |
| Certification date | November 18, 2025 |
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