Organization
JERICHO PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANYAN ZHAO LEE DPT (PRESIDENT)
(516) 653-1898
Entity
Organization
Contact information
Practice address
366 N BROADWAY STE 405, JERICHO, NY 11753-2000
(516) 653-1898
(516) 390-4499
Mailing address
366 N BROADWAY STE 405, JERICHO, NY 11753-2000
(516) 653-1898
(516) 390-4499
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100239651
PHYSICAL THERAPY
NY
Enumeration date
03/06/2020
Last updated
01/10/2023
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