Organization
LEGEND REHABILITATION-ACUPUNCTURE & PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAP C KU PT L.AC (DIRECTOR)
(718) 980-9888
Entity
Organization
Contact information
Practice address
1481 RICHMOND RD, STATEN ISLAND, NY 10304-2309
(718) 980-9888
(718) 980-1403
Mailing address
1481 RICHMOND RD, STATEN ISLAND, NY 10304-2309
(718) 980-9888
(718) 980-1403
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
001272-1
NY
320700000X
Physical Disabilities Residential Treatment Facility
Primary
14071
NY
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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