MEDICARE: GOODBYE PAIN LLC

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
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1255922597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODBYE PAIN LLC

Provider Business Mailing Address
First Line	:	205 W 54TH ST APT 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-5512
Country	:	US
Telephone Number	:	212-397-8988
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 W 54TH ST APT 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-5512
Country	:	US
Telephone Number	:	212-397-8988
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/ACUPUNCTURIST
Name	:	DR. WEIYI LIU
Credential	:	DPT, LAC
Telephone Number	:	646-725-7874

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	05/23/2024

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Directions to “GOODBYE PAIN LLC ” Practice Location

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