Provider Demographics
NPI:1629290796
Name:OPTIMUM CARE PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:OPTIMUM CARE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HO YIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YIU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-625-2818
Mailing Address - Street 1:185 CANAL STREET
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-625-2818
Mailing Address - Fax:212-625-2819
Practice Address - Street 1:185 CANAL STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-625-2818
Practice Address - Fax:212-625-2819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0278331261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02861058Medicaid
NYQBWMM1Medicare PIN