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Organization
GREAT WALL DYNAMIC PHYSICAL THERAPY & ACUPUNCTURE PLLC
Active
Organization
GREAT WALL DYNAMIC PHYSICAL THERAPY & ACUPUNCTURE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QIN EVERLYN LI RPT (RPT)
(718) 888-2600
Entity
Organization
Contact information
Practice address
13939 35TH AVE, FLUSHING, NY 11354-3500
(718) 888-2600
Mailing address
PO BOX 521231, FLUSHING, NY 11352-1231
(718) 888-2600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003017
LICENSE
NY
Enumeration date
11/08/2011
Last updated
11/08/2011
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