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Individual

MITCHELL T YASS

Active
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Individual

MITCHELL T YASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013705
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6602199
GHI
NY
01
—
N82058
PHS
NY
01
—
P607878
OXFORD
NY
Enumeration date
01/24/2008
Last updated
01/24/2008
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