Individual
YASIR ABBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 E MAIN ST STE 206, PATCHOGUE, NY 11772-3121
(631) 307-9085
Mailing address
43 OAKMONT AVE, SELDEN, NY 11784-3019
(631) 565-3027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00860501
NY
Other
Enumeration date
01/05/2026
Last updated
01/09/2026
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