| |
57 W 57th St Ste 603, New York, NY 10019-2810 | |
(212) 757-1333 | |
(212) 757-6333 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 57 W 57th St Ste 603, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518378652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Keiko Yanai |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497054381 PECOS PAC ID: 8426228560 Enrollment ID: I20110830000018 |
Provider Name | Chienming Liao |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982139309 PECOS PAC ID: 9638592116 Enrollment ID: I20200701001607 |
Provider Name | Kyungjun Lee |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659905289 PECOS PAC ID: 8820409287 Enrollment ID: I20201117000145 |
Mailing Address | Practice Location Address |
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57 W 57th St Ste 603, New York, NY 10019-2810 Ph: (212) 757-1333 | 57 W 57th St Ste 603, New York, NY 10019-2810 Ph: (212) 757-1333 |