Organization
LAKEVILLE PHYSICAL THERAPY & ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WONG ACUPUNCTURE (MANAGER)
(516) 263-8190
Entity
Organization
Contact information
Practice address
2035 LAKEVILLE RD, SUITE 300, NEW HYDE PARK, NY 11040-1600
(516) 263-8190
(516) 492-3299
Mailing address
2035 LAKEVILLE RD, SUITE 300, NEW HYDE PARK, NY 11040-1600
(516) 263-8190
(516) 492-3299
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
003113
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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