Provider Demographics
NPI:1588320097
Name:YK PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:YK PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YITZCHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLODNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-286-5012
Mailing Address - Street 1:364 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-7354
Mailing Address - Country:US
Mailing Address - Phone:347-423-9031
Mailing Address - Fax:
Practice Address - Street 1:364 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-7354
Practice Address - Country:US
Practice Address - Phone:347-423-9031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy