Provider Demographics
NPI:1750630174
Name:JOY PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:JOY PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEUNG JO
Authorized Official - Middle Name:
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:718-321-3962
Mailing Address - Street 1:14226 37TH AVE
Mailing Address - Street 2:#C BASEMENT
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4103
Mailing Address - Country:US
Mailing Address - Phone:718-353-7575
Mailing Address - Fax:
Practice Address - Street 1:14226 37TH AVE
Practice Address - Street 2:#C BASEMENT
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4103
Practice Address - Country:US
Practice Address - Phone:718-353-7575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty