Healthcare Provider Details

I. General information

NPI: 1477160646
Provider Name (Legal Business Name): ALISON MARY YEUNG PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2020
Last Update Date: 09/30/2020
Certification Date: 09/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 MAIN ST
ARMONK NY
10504-1843
US

IV. Provider business mailing address

21 CAMELOT CT
WHITE PLAINS NY
10603-1552
US

V. Phone/Fax

Practice location:
  • Phone: 914-273-9100
  • Fax:
Mailing address:
  • Phone: 914-837-7401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number045982-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: