Doctor Name: | MR. GENNADY YAGNETINSKY |
NPI Number: | 1497976161 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 023608-1 |
Business Practice Address: | 61 Boswell Rd Putnam Valley, NY - 105792810 |
Business Phone Number: | 8456036339 |
Business Fax Number: | 8456036339 |
Mailing Address: | 61 Boswell Rd, PUTNAM VALLEY |
State: | NY |
Postal Code: | 105792810 |
Phone Number: | 8456036339 |
Fax Number: | 8456036339 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 05/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 023608-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |