Yongtack Park
Physical Therapist in Fort Lee, New Jersey
1144576331- Practice location
- 800 Palisade Avenue, #308, Fort Lee, NJ 07024
- Phone
- 347-334-6860
- Fax
- 347-602-8662
- Last updated
- November 8, 2022
Yongtack Park is a Physical Therapist based in Fort Lee, NJ. Yongtack Park practices in Fort Lee, NJ. The NPI Number for Yongtack Park is 1144576331 and holds a License No. 017697 (NY). The current practice location address for Yongtack Park is 800 Palisade Avenue, #308, Fort Lee, NJ 07024 and can be reached out via phone at 347-334-6860 and via fax at 347-602-8662.
Provider Profile Details
- NPI Number
- 1144576331
- Provider Name
- Yongtack Park
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 800 Palisade Avenue, #308, Fort Lee, NJ 07024
- Phone Number
- 347-334-6860
- Fax Number
- 347-602-8662
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 25, 2012
- Last Update Date
- November 8, 2022
- Certification Date
- November 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 Palisade Avenue
#308
Fort Lee, NJ 07024 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024
- Phone Number
- 347-334-6860
- Fax Number
- 347-602-8662
Provider Business Mailing Address Details
- Address
- 800 Palisade Avenue
#308
Fort Lee, NJ 07024 - City
- Fort Lee
- State
- NJ
- Zip
- 07024
- Phone Number
- 347-334-6860
- Fax Number
- 347-602-8662
License Information
- License Number
- 017697
- License State
- NY
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Yongtack Park?
The NPI number of Yongtack Park is 1144576331. It was assigned on July 25, 2012 and is currently active in the NPPES registry.
What is the specialty of Yongtack Park?
Yongtack Park is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 017697.
Where does Yongtack Park practice?
The practice location is 800 Palisade Avenue, #308, Fort Lee, NJ 07024. The office can be reached at 347-334-6860 (phone) or 347-602-8662 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144576331 directly on the NPPES registry website.