Provider Demographics
NPI:1043597347
Name:SINEW ACUPUNCTURE AND PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:SINEW ACUPUNCTURE AND PHYSICAL THERAPY PLLC
Other - Org Name:SINEW REHAB & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC
Authorized Official - Phone:516-280-6600
Mailing Address - Street 1:520 FRANKLIN AVE STE L9
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5813
Mailing Address - Country:US
Mailing Address - Phone:516-280-6600
Mailing Address - Fax:516-280-6604
Practice Address - Street 1:520 FRANKLIN AVE STE L9
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5813
Practice Address - Country:US
Practice Address - Phone:516-280-6600
Practice Address - Fax:516-280-6604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-15
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003470171100000X
NY028411225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty