Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 033606-1 | NY |
NPI | 1063766343 |
---|---|
Provider Name | Young Yu |
First Address | Woodside, NY 11377-4987 |
Second Address | Woodside, NY 11377-4987 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2012 |
Last Update Date | 28/08/2014 |