Provider Demographics
NPI:1497054381
Name:YANAI, KEIKO (DPT)
Entity Type:Individual
Prefix:DR
First Name:KEIKO
Middle Name:
Last Name:YANAI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 W 57TH ST STE 603
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2810
Mailing Address - Country:US
Mailing Address - Phone:212-757-1333
Mailing Address - Fax:212-757-6333
Practice Address - Street 1:57 W 57TH ST STE 603
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2802
Practice Address - Country:US
Practice Address - Phone:212-757-1333
Practice Address - Fax:212-757-6333
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007170171100000X
NY033477225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist