Healthcare Provider Details

I. General information

NPI: 1467864397
Provider Name (Legal Business Name): NEW WELLING PHYSICAL THERAPY AND ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 05/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13235 41ST RD 1G
FLUSHING NY
11355-4113
US

IV. Provider business mailing address

13235 41ST RD 1G
FLUSHING NY
11355-4113
US

V. Phone/Fax

Practice location:
  • Phone: 718-321-3600
  • Fax:
Mailing address:
  • Phone: 718-321-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number002573
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number037057
License Number StateNY

VIII. Authorized Official

Name: MR. WILLIAM SHENGLI VU
Title or Position: MEMBER
Credential:
Phone: 917-922-8830