Provider Demographics
NPI:1548976491
Name:USHER, DAVID YAKOV (DPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:YAKOV
Last Name:USHER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 HARDS LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1315
Mailing Address - Country:US
Mailing Address - Phone:516-341-9723
Mailing Address - Fax:
Practice Address - Street 1:114 HARDS LN BLDG SUITE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1315
Practice Address - Country:US
Practice Address - Phone:516-650-5756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist