Provider Demographics
NPI:1891029831
Name:HE, YAO XIN (PT)
Entity Type:Individual
Prefix:MS
First Name:YAO
Middle Name:XIN
Last Name:HE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5012
Mailing Address - Country:US
Mailing Address - Phone:718-332-4234
Mailing Address - Fax:718-332-2243
Practice Address - Street 1:2518 E 11TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5012
Practice Address - Country:US
Practice Address - Phone:718-332-4234
Practice Address - Fax:718-332-2243
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist