Provider Demographics
NPI:1952475196
Name:WELCOME PAIN CARE AND REHABILITAION MEDICINE, PLLC
Entity Type:Organization
Organization Name:WELCOME PAIN CARE AND REHABILITAION MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUIKANG
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:LAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-571-8886
Mailing Address - Street 1:4125 KISSENA BLVD
Mailing Address - Street 2:STE 115
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3150
Mailing Address - Country:US
Mailing Address - Phone:718-539-8868
Mailing Address - Fax:718-353-2783
Practice Address - Street 1:4125 KISSENA BLVD
Practice Address - Street 2:STE 115
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3150
Practice Address - Country:US
Practice Address - Phone:718-539-8868
Practice Address - Fax:718-353-2783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226453208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02358092Medicaid
NYH74724Medicare UPIN
NY02358092Medicaid
NY0232J1Medicare ID - Type Unspecified