Provider Demographics
NPI:1689386062
Name:NY ASTORIA PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:NY ASTORIA PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JI-YEON
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-426-6065
Mailing Address - Street 1:2218 JACKSON AVE APT 1011
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-4947
Mailing Address - Country:US
Mailing Address - Phone:914-426-6065
Mailing Address - Fax:
Practice Address - Street 1:13314 41ST AVE FL 8
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3629
Practice Address - Country:US
Practice Address - Phone:718-888-0065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy