Provider Demographics
NPI:1649317249
Name:YEH, RONNIE (PT)
Entity type:Individual
Prefix:
First Name:RONNIE
Middle Name:
Last Name:YEH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 SOUTHWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5708
Mailing Address - Country:US
Mailing Address - Phone:917-579-5494
Mailing Address - Fax:
Practice Address - Street 1:186 SOUTHWOOD CIR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5708
Practice Address - Country:US
Practice Address - Phone:917-579-5494
Practice Address - Fax:516-682-8339
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016182225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist