Provider Demographics
NPI:1033365655
Name:SHARON GARY, P.T., P.C.
Entity Type:Organization
Organization Name:SHARON GARY, P.T., P.C.
Other - Org Name:YOGA PHYSICAL THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:212-226-1746
Mailing Address - Street 1:24 PRINCE ST APT 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3564
Mailing Address - Country:US
Mailing Address - Phone:212-226-1746
Mailing Address - Fax:435-921-5388
Practice Address - Street 1:24 PRINCE ST APT 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3564
Practice Address - Country:US
Practice Address - Phone:212-226-1746
Practice Address - Fax:435-921-5388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012162-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy