Provider Demographics
NPI:1851107627
Name:YOO BALANCEH PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:YOO BALANCEH PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESENT
Authorized Official - Prefix:
Authorized Official - First Name:HYUNJU
Authorized Official - Middle Name:
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:646-875-1581
Mailing Address - Street 1:303 5TH AVE RM 703
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6684
Mailing Address - Country:US
Mailing Address - Phone:646-875-1581
Mailing Address - Fax:
Practice Address - Street 1:303 5TH AVE RM 703
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6684
Practice Address - Country:US
Practice Address - Phone:646-875-1581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy