Provider Demographics
NPI:1265679849
Name:GOLD STANDARD PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:GOLD STANDARD PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:YANAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS
Authorized Official - Phone:914-420-7212
Mailing Address - Street 1:271 MADISON AVE
Mailing Address - Street 2:SUITE 1407
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1001
Mailing Address - Country:US
Mailing Address - Phone:212-481-4022
Mailing Address - Fax:212-481-4023
Practice Address - Street 1:271 MADISON AVE
Practice Address - Street 2:SUITE 1407
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1001
Practice Address - Country:US
Practice Address - Phone:212-481-4022
Practice Address - Fax:212-481-4023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-19
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020871225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty