MEDICARE: BRIAN LAU PT

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	034525	NY

General Provider Information

NPI Number	:	1457622730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN LAU PT

Provider Business Mailing Address
First Line	:	144 EAST 44TH STREET
Second Line	:	3RD FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10028-2167
Country	:	US
Telephone Number	:	212-490-3800
Fax Number	:	212-490-6657

Provider Business Practice Location Address
First Line	:	144 EAST 44TH STREET
Second Line	:	3RD FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10028-2167
Country	:	US
Telephone Number	:	212-490-3800
Fax Number	:	212-490-6657

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

Provider Enumeration Date	:	01/19/2012
Last Update Date	:	05/01/2013

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Directions to “ BRIAN LAU PT” Practice Location

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