Gennady Yagnetinsky, MSPT
Physical Therapist in Putnam Valley, NY. Individual provider (NPI-1).
NPI number1497976161
StatusActive
Last updated in NPPESMay 5, 2010
Details
- NPI
- 1497976161
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gennady Yagnetinsky
- Credential
- MSPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2007
- Last updated
- May 5, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 023608-1 | NY | Yes |
Practice location
61 Boswell RdPutnam Valley, NY 10579-2810
Phone 845-603-6339 · Fax 845-603-6339
Mailing address
61 Boswell RdPutnam Valley, NY 10579-2810
Phone 845-603-6339 · Fax 845-603-6339
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Physical Therapist providers in Putnam Valley · All 141 providers in Putnam Valley
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