# LEGEND REHABILITATION-ACUPUNCTURE & PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588949747
- **Authorized official:** MR. LAP C KU PT L.AC (DIRECTOR)
- **Authorized official phone:** (718) 980-9888

## Contact information

- **Practice address:** 1481 RICHMOND RD, STATEN ISLAND, NY 10304-2309
- **Practice address phone:** (718) 980-9888
- **Practice address fax:** (718) 980-1403
- **Mailing address:** 1481 RICHMOND RD, STATEN ISLAND, NY 10304-2309
- **Mailing address phone:** (718) 980-9888
- **Mailing address fax:** (718) 980-1403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 001272-1 | NY | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | 14071 | NY | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 10/19/2011