| Jisu Yu, | |
|
13668 Roosevelt Ave # 803, Flushing, NY 11354-5510 | |
| (646) 683-8255 | |
| Not Available |
| Full Name | Jisu Yu |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 13668 Roosevelt Ave # 803, Flushing, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316594831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 042511 (New York) | Primary |
| Provider Name | Jisu Physical Therapy PC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1134795115 PECOS PAC ID: 6002285525 Enrollment ID: O20221206000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Jisu Yu, 4527 40th St # 1b, Sunnyside, NY 11104-3910 Ph: Not Available | Jisu Yu, 13668 Roosevelt Ave # 803, Flushing, NY 11354-5510 Ph: (646) 683-8255 |
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Minsuk K Kim, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37-31 149st., Flushing, NY 11354 Phone: 718-321-2511 Fax: 888-327-6892 |
Philam Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 15609 Northern Blvd, Flushing, NY 11354 Phone: 347-247-7462 |
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