Provider Demographics
NPI:1073230272
Name:L&P REHAB PT & ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:L&P REHAB PT & ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PROFESSIONAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDICAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-888-0300
Mailing Address - Street 1:4161 KISSENA BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3181
Mailing Address - Country:US
Mailing Address - Phone:718-888-0300
Mailing Address - Fax:
Practice Address - Street 1:4161 KISSENA BLVD STE 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3181
Practice Address - Country:US
Practice Address - Phone:718-888-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation