Provider Demographics
NPI:1245592831
Name:YHS PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:YHS PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOONHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-896-2011
Mailing Address - Street 1:6360 102ND ST
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2451
Mailing Address - Country:US
Mailing Address - Phone:718-896-2011
Mailing Address - Fax:718-896-2009
Practice Address - Street 1:6360 102ND ST
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2451
Practice Address - Country:US
Practice Address - Phone:718-896-2011
Practice Address - Fax:718-896-2009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-11
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty