Provider Demographics
NPI:1992961791
Name:GEMINI PHYSICAL THERAPY P C
Entity type:Organization
Organization Name:GEMINI PHYSICAL THERAPY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YINGCHI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-378-5308
Mailing Address - Street 1:5312 195TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1735
Mailing Address - Country:US
Mailing Address - Phone:917-378-5308
Mailing Address - Fax:718-819-2923
Practice Address - Street 1:5312 195TH ST
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-1735
Practice Address - Country:US
Practice Address - Phone:917-378-5308
Practice Address - Fax:718-819-2923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026826174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty