MEDICARE: CAREFOR 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
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1629843701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREFOR ACUPUNCTURE AND PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	156 WILLIAM ST RM 801
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10038-5362
Country	:	US
Telephone Number	:	848-565-4819
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 WILLIAM ST RM 801
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10038-5362
Country	:	US
Telephone Number	:	848-565-4819
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JENNY DONG
Credential	:
Telephone Number	:	848-565-4819

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	11/21/2023

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