Samuel Yoo Physical Therapy Pc

LBN: Samuel Yoo Physical Therapy Pc
Samuel Yoo Physical Therapy Pc is an health care organization with primary practice located at 3930 Richmond Ave Ste 200 , Staten Island NY 10312-5103. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Samuel Yoo Physical Therapy Pc can be contacted via phone (718) 317-9801, or through Yoo, Samuel via phone (646) 240-8453.

Contact Information

Primary practice address
3930 Richmond Ave Ste 200 Staten Island NY 10312-5103
Phone: (718) 317-9801
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yoo, Samuel Physical Therapist (PT)
Phone: (646) 240-8453

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1124773940
LBN Legal business name Samuel Yoo Physical Therapy Pc
DBA Doing business as
Authorized official Yoo, Samuel Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2022
Last updated Jun 22nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124773940 NPPES
New York Other G400061606 MEDICARE MEMBER PTAN FOR QUEENS
New York Other A400026932 MEDICARE MEMBER PTAN FOR QUEENS
New York MEDICAID 1891939625 MEDICARE MEMBER PTAN FOR QUEENS

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