Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 039605 | NY |
N | 2251S0007X | Physical Therapist - Sports | NY | |
N | 2251X0800X | Physical Therapist - Orthopedic | NY |
NPI | 1255700225 |
---|---|
Provider Name | Dr. Daniel Jong Hyun Yoo |
First Address | New York, NY 10023-7603 |
Second Address | New York, NY 10017-1014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2015 |
Last Update Date | 06/05/2019 |