Healthcare Provider Details

I. General information

NPI: 1851253579
Provider Name (Legal Business Name): BROOKLYN HEIGHTS ACUPUNCTURE AND PHYSICAL THERAPY WELLNESSPLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 COURT ST STE 707
BROOKLYN NY
11201-4404
US

IV. Provider business mailing address

90 BEEKMAN ST APT 2B
NEW YORK NY
10038-1876
US

V. Phone/Fax

Practice location:
  • Phone: 646-515-2228
  • Fax:
Mailing address:
  • Phone: 646-515-2228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LI MA
Title or Position: PRESIDENT
Credential: LAC.
Phone: 646-515-2228