Glynn Debrocky, P.T.
Individual provider Active NPI Physical Therapist · Yorktown HTS, NY
NPI 1629288402 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629288402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 003358-1 (NY)
- Practice address
- 200 Boces Dr
Yorktown HTS, NY 10598-4321 - Phone
- (914) 248-2250
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003358-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam-Northern Westchester Boces | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003358-1 | NY | Yes |
Addresses
Primary practice location
200 Boces Dr
Yorktown HTS, NY 10598-4321
Mailing address
30 Waywayanda CT
Carmel, NY 10512-3954
Phone (845) 225-2723
Other providers in Yorktown HTS, NY
- Susan Brown
- Emily Callander
- Alexis Catania
- Kayleen Dora Catolane
- Gerard Dagnese
- Rhonda Dier
- Lori Fruchter- Sloane
- Robert S. Grimshaw, Jr.
- Jack L Brenner MD PC
- Jeffrey Brian Katz
All providers in Yorktown HTS, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.