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General NPI Number Information
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NPI Number | 1831334945
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Entity Type | Individual
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Provider Name | KYUNG H YOO PT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 21315 33RD RD
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City | BAYSIDE
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State | NY
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Zip | 11361-1508
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Country | US
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Telephone | 718-229-4878
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Fax |
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Provider Business Mailing Address
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Address Line | 659 LARKFIELD RD
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City | COMMACK
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State | NY
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Zip | 11725-1803
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Country | US
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Telephone | 631-486-1101
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 021329-1
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License Number State | NY
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