Provider Demographics
NPI:1982216073
Name:YOO REHABILITATION PT P.C.
Entity Type:Organization
Organization Name:YOO REHABILITATION PT P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAN
Authorized Official - Middle Name:NA
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:551-221-0657
Mailing Address - Street 1:1 W 34TH ST STE 402B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3011
Mailing Address - Country:US
Mailing Address - Phone:551-221-0657
Mailing Address - Fax:
Practice Address - Street 1:1 W 34TH ST STE 402B
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:551-221-0657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty