MEDICARE: PUIYI LAI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	017006-1	NY

General Provider Information

NPI Number	:	1043544067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PUIYI LAI

Provider Business Mailing Address
First Line	:	5036 208TH ST
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1119
Country	:	US
Telephone Number	:	718-225-5068
Fax Number	:	718-225-5068

Provider Business Practice Location Address
First Line	:	7520 ASTORIA BLVD
Second Line	:	SUITE 220
City	:	FLUSHING
State	:	NY
Zip	:	11370-1138
Country	:	US
Telephone Number	:	718-888-6920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2009
Last Update Date	:	09/23/2009

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Directions to “ PUIYI LAI ” Practice Location

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