Provider Demographics
NPI:1255121059
Name:YKC OT PC
Entity type:Organization
Organization Name:YKC OT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YINGYING
Authorized Official - Middle Name:
Authorized Official - Last Name:CAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-233-9041
Mailing Address - Street 1:14616 58TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5410
Mailing Address - Country:US
Mailing Address - Phone:646-233-9041
Mailing Address - Fax:917-634-8939
Practice Address - Street 1:13324 SANFORD AVE APT 1K
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3618
Practice Address - Country:US
Practice Address - Phone:646-233-9041
Practice Address - Fax:917-634-8939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty