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Organization
MITCHELL T YASS PHYSICAL THERAPY PC
Active
Organization
MITCHELL T YASS PHYSICAL THERAPY PC
Active
Other names
PT2 Physical Therapy and Personal Training
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL T YASS PT (PRESIDENT)
(516) 420-2900
Entity
Organization
Contact information
Practice address
309 NORTHWEST DR, FARMINGDALE, NY 11735-4935
(516) 420-2900
(516) 420-2908
Mailing address
309 NORTHWEST DR, FARMINGDALE, NY 11735-4935
(516) 420-2900
(516) 420-2908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0137051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6602199
GHI
NY
01
—
P607878
OXFORD
NY
Enumeration date
09/17/2006
Last updated
10/09/2012
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