Provider Demographics
NPI:1215051107
Name:YES I CAN PHYSICAL THERAPY, PC
Entity type:Organization
Organization Name:YES I CAN PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:UNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:MS PT
Authorized Official - Phone:631-266-5993
Mailing Address - Street 1:82 WINTERCRESS LN
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-4713
Mailing Address - Country:US
Mailing Address - Phone:631-266-5993
Mailing Address - Fax:631-266-5993
Practice Address - Street 1:82 WINTERCRESS LN
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-4713
Practice Address - Country:US
Practice Address - Phone:631-266-5993
Practice Address - Fax:631-266-5993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy