Most Relevant Information
Provider Data
| NPI Number: | 1003174962 |
| Provider Name: | NINA LOUISE YOUNG PHYSICAL THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 62-015026 |
Most Important Dates
| Enumeration Date: | 04/30/2012 |
| Last Updated: | 04/30/2012 |
Provider Practice Location
1 FORDHAM PLZ
BRONX
NY
104585871
Practice Location Phone/Fax
| Phone: | 7183298109 |
| Fax: | 7187417928 |
Provider Mailing Location
9 PENNINGTON WAY
SPRING VALLEY
NY
109771414
Provider Mailing Phone/Fax
| Phone: | 8453545226 |
| Fax: | 8453548583 |