Yasser Eldeeb, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017203 Issued in NY

Practice address

6212 Cherry Hill Dr
Poughkeepsie, NY 12603-1707

Phone

(845) 590-0279

Fax

(845) 485-0020

NPI assigned

May 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235347311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 CHERRY HILL DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031707",
            "telephone_number": "845-590-0279",
            "fax_number": "845-485-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 CHERRY HILL DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031707",
            "telephone_number": "845-590-0279",
            "fax_number": "845-485-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDEEB",
        "first_name": "YASSER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6698007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "83300",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "437171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Ehret
• Eks Consultants, Inc
• Salem El Mizzawi
• Dina Elachi
• Abdelrahman Ashraf Elashry, MD
• Hanan L Elhassanin, RPH
• Adele Elkareh, MD
• Judith Lynne Elkin, LMSW
• Jenna Elkington, PA-C
• Ionie Christiana Ellis

• Physical Therapist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.