Provider Demographics
NPI:1538111802
Name:UY, WILLIAM RABASTO (PT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:RABASTO
Last Name:UY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31-25 UNION STREET
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2346
Mailing Address - Country:US
Mailing Address - Phone:718-939-3457
Mailing Address - Fax:718-445-6933
Practice Address - Street 1:31-25 UNION STREET
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2346
Practice Address - Country:US
Practice Address - Phone:718-939-3457
Practice Address - Fax:718-445-6933
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2008-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ350G1OtherBCBS
NY021579OtherNYS LICENSE
NY08359Medicare PIN
NY021579OtherNYS LICENSE
NY08659GMedicare PIN
NYQ163H1Medicare PIN