Provider Demographics
NPI:1467596098
Name:UNION REHABILITATION MEDICINE AND ACUPUNCTURE, PLLC
Entity Type:Organization
Organization Name:UNION REHABILITATION MEDICINE AND ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XIAOFANG
Authorized Official - Middle Name:
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-472-3848
Mailing Address - Street 1:14 ROSS RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4426
Mailing Address - Country:US
Mailing Address - Phone:914-588-0528
Mailing Address - Fax:914-472-3898
Practice Address - Street 1:495 CENTRAL PARK AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1068
Practice Address - Country:US
Practice Address - Phone:914-472-3848
Practice Address - Fax:914-472-3898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228232208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0853J1WDW191Medicare ID - Type Unspecified