Provider Demographics
NPI:1316520596
Name:CRESCENDO CARE PHYSICAL THERAPY, P.C.
Entity type:Organization
Organization Name:CRESCENDO CARE PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOKWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:917-204-5978
Mailing Address - Street 1:13620 MAPLE AVE STE 501
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5167
Mailing Address - Country:US
Mailing Address - Phone:718-799-0876
Mailing Address - Fax:917-588-2811
Practice Address - Street 1:13620 MAPLE AVE STE 501
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5167
Practice Address - Country:US
Practice Address - Phone:718-799-0876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty