Healthcare Provider Details

I. General information

NPI: 1255700225
Provider Name (Legal Business Name): DANIEL JONG HYUN YOO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2015
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 W 45TH ST FL 11
NEW YORK NY
10036-4902
US

IV. Provider business mailing address

25 W 45TH ST FL 11
NEW YORK NY
10036-4902
US

V. Phone/Fax

Practice location:
  • Phone: 646-849-4146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number039605
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: