Healthcare Provider Details

I. General information

NPI: 1689593345
Provider Name (Legal Business Name): FARZANA YESMIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1887 BATHGATE AVE
BRONX NY
10457-6283
US

IV. Provider business mailing address

959 PIERCE AVE # 1
BRONX NY
10462-4009
US

V. Phone/Fax

Practice location:
  • Phone: 718-466-3580
  • Fax: 718-466-3580
Mailing address:
  • Phone: 718-466-3580
  • Fax: 718-466-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberP144281
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: