Provider Demographics
NPI:1114072139
Name:YABLONSKI, DAWN H (PT)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:H
Last Name:YABLONSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 E JERICHO TPKE UNIT A
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-5453
Mailing Address - Country:US
Mailing Address - Phone:631-549-0749
Mailing Address - Fax:631-549-1562
Practice Address - Street 1:1206 E JERICHO TPKE UNIT A
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-5453
Practice Address - Country:US
Practice Address - Phone:631-549-0749
Practice Address - Fax:631-549-1562
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007157-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ64541Medicare ID - Type Unspecified