Healthcare Provider Details

I. General information

NPI: 1730648676
Provider Name (Legal Business Name): KWEE WA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 BROADWAY STE 713
NEW YORK NY
10279-0001
US

IV. Provider business mailing address

233 BROADWAY STE 713
NEW YORK NY
10279-0001
US

V. Phone/Fax

Practice location:
  • Phone: 857-259-3392
  • Fax: 929-273-0597
Mailing address:
  • Phone: 857-228-8533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: HSING-I HSIEH
Title or Position: MEMBER
Credential: DPT
Phone: 857-228-8533