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General NPI Number Information
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NPI Number | 1548887839
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Entity Type | Organization
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Legal Business Name | NYNY PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 39 W 14TH ST STE 205B
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City | NEW YORK
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State | NY
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Zip | 10011-7406
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Country | US
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Telephone | 551-221-0657
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 BOWNE ST APT 1A
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City | FLUSHING
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State | NY
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Zip | 11354-4501
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Country | US
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Telephone | 551-221-0657
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. HAN NA YOO
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Credential | PT
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Telephone | 551-221-0657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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