Provider Demographics
NPI:1285416776
Name:FLOYD YU TIAMCO PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:FLOYD YU TIAMCO PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FLOYD ANTON
Authorized Official - Middle Name:AMORA
Authorized Official - Last Name:YU TIAMCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-925-9778
Mailing Address - Street 1:615 W 183RD ST APT 6H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3984
Mailing Address - Country:US
Mailing Address - Phone:646-925-9778
Mailing Address - Fax:
Practice Address - Street 1:615 W 183RD ST APT 6H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-3984
Practice Address - Country:US
Practice Address - Phone:646-925-9778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty