Provider Demographics
NPI:1538358486
Name:WILLIAM UY
Entity type:Organization
Organization Name:WILLIAM UY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RABASTO
Authorized Official - Last Name:UY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-939-3457
Mailing Address - Street 1:3125 UNION ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2346
Mailing Address - Country:US
Mailing Address - Phone:646-732-5819
Mailing Address - Fax:718-445-6933
Practice Address - Street 1:3125 UNION ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2346
Practice Address - Country:US
Practice Address - Phone:718-939-3457
Practice Address - Fax:718-445-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ350G1OtherBCBS PIN
NYQ163H1Medicare PIN
NY08359Medicare PIN
NYQ350G1OtherBCBS PIN