NPI 1659635357

Lakeville Physical Therapy & Acupuncture LLC

Organisation Exclusive Provider Organization New Hyde Park, NY

Practice location

Address: 2035 Lakeville Rd Suite 300, New Hyde Park, NY 11040-1600
Phone: (516) 263-8190
Fax: (516) 492-3299

Authorised official

Name: Paul Wong
Title: Manager
Phone: (516) 263-8190

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 003113 (NY)

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Registry record

NPI: 1659635357
Entity type: Organization
NPI issued: 27 Jun 2012
Record last updated: 27 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.