MEDICARE: SINEW ACUPUNCTURE AND PHYSICAL THERAPY PLLC

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	171100000X	Acupuncturist	003470	NY
2	225100000X	Physical Therapist	028411	NY

General Provider Information

NPI Number	:	1043597347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINEW ACUPUNCTURE AND PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	520 FRANKLIN AVE STE L9
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5813
Country	:	US
Telephone Number	:	516-280-6600
Fax Number	:	516-280-6604

Provider Business Practice Location Address
First Line	:	520 FRANKLIN AVE STE L9
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5813
Country	:	US
Telephone Number	:	516-280-6600
Fax Number	:	516-280-6604

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSH LEE
Credential	:	PHD., LAC
Telephone Number	:	516-280-6600

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	04/17/2018

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