Healthcare Provider Details

I. General information

NPI: 1902179971
Provider Name (Legal Business Name): HELEN'S WELLNESS PHYSICAL THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2012
Last Update Date: 09/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19662 45TH RD
FLUSHING NY
11358-3523
US

IV. Provider business mailing address

19662 45TH RD
FLUSHING NY
11358-3523
US

V. Phone/Fax

Practice location:
  • Phone: 917-640-1852
  • Fax: 718-229-3748
Mailing address:
  • Phone: 917-640-1852
  • Fax: 718-229-3748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number023582
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number023582
License Number StateNY

VIII. Authorized Official

Name: MS. HELEN YINGJIE ZHU
Title or Position: PRESIDENT
Credential: MSPT
Phone: 917-640-1852