Healthcare Provider Details

I. General information

NPI: 1871747352
Provider Name (Legal Business Name): PEARLY M. YEE P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2008
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 BEECH HILL RD
PLEASANTVILLE NY
10570-2528
US

IV. Provider business mailing address

75 BEECH HILL RD
PLEASANTVILLE NY
10570-2528
US

V. Phone/Fax

Practice location:
  • Phone: 914-239-8766
  • Fax: 914-239-8766
Mailing address:
  • Phone: 914-239-8766
  • Fax: 914-239-8766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number005430-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number005430-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: