Provider Demographics
NPI:1881956365
Name:MICHAEL, YOUSAF (PT)
Entity type:Individual
Prefix:MR
First Name:YOUSAF
Middle Name:
Last Name:MICHAEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:664 STONELEIGH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3940
Mailing Address - Country:US
Mailing Address - Phone:845-278-8400
Mailing Address - Fax:845-278-4326
Practice Address - Street 1:667 STONELEIGH AVE
Practice Address - Street 2:SUITE 117
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-2454
Practice Address - Country:US
Practice Address - Phone:845-230-5178
Practice Address - Fax:845-363-1816
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2013-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY034513225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist