Provider Demographics
NPI:1467864397
Name:NEW WELLING PHYSICAL THERAPY AND ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:NEW WELLING PHYSICAL THERAPY AND ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SHENGLI
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-922-8830
Mailing Address - Street 1:13235 41ST RD
Mailing Address - Street 2:1G
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4113
Mailing Address - Country:US
Mailing Address - Phone:718-321-3600
Mailing Address - Fax:
Practice Address - Street 1:13235 41ST RD
Practice Address - Street 2:1G
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4113
Practice Address - Country:US
Practice Address - Phone:718-321-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002573171100000X
NY037057261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty