Provider Demographics
NPI:1619664539
Name:DONGYI YU OCCUPATIONAL THERAPIST PC
Entity Type:Organization
Organization Name:DONGYI YU OCCUPATIONAL THERAPIST PC
Other - Org Name:REWIND REHAB
Other - Org Type:Other Name
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DONGYI
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:646-206-7409
Mailing Address - Street 1:265 CHADEAYNE RD
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-1435
Mailing Address - Country:US
Mailing Address - Phone:646-206-7409
Mailing Address - Fax:
Practice Address - Street 1:1 W 34TH ST RM 200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3011
Practice Address - Country:US
Practice Address - Phone:646-206-7409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation