Healthcare Provider Details

I. General information

NPI: 1255922597
Provider Name (Legal Business Name): GOODBYE PAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W 54TH ST APT 1C
NEW YORK NY
10019-5512
US

IV. Provider business mailing address

205 W 54TH ST APT 1C
NEW YORK NY
10019-5512
US

V. Phone/Fax

Practice location:
  • Phone: 212-397-8988
  • Fax:
Mailing address:
  • Phone: 212-397-8988
  • 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: DR. WEIYI LIU
Title or Position: PHYSICAL THERAPIST/ACUPUNCTURIST
Credential: DPT, LAC
Phone: 646-725-7874