Healthcare Provider Details

I. General information

NPI: 1871056929
Provider Name (Legal Business Name): DOUBLE HANDS PT OT & ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2019
Last Update Date: 04/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MAIDEN LN RM 1007
NEW YORK NY
10038-4764
US

IV. Provider business mailing address

80 MAIDEN LN RM 1007
NEW YORK NY
10038-4764
US

V. Phone/Fax

Practice location:
  • Phone: 212-386-7812
  • Fax: 212-386-7814
Mailing address:
  • Phone: 212-386-7812
  • Fax: 212-386-7814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHUNGYING TSAI
Title or Position: PRESIDENT
Credential: MSPT, L.AC, MSTOM
Phone: 646-409-5256