MEDICARE: INTEGRATED PHYSIO PHYSICAL THERAPY AND ACUPUNCTURE P.C

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	:	1801431234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED PHYSIO PHYSICAL THERAPY AND ACUPUNCTURE P.C

Provider Business Mailing Address
First Line	:	4237 27TH ST APT 6D
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-4142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 W 45TH ST STE 404
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-4265
Country	:	US
Telephone Number	:	718-353-5621
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TZU-HAO KUO
Credential	:
Telephone Number	:	718-353-5621

Provider Enumeration Date	:	11/08/2019
Last Update Date	:	11/16/2020

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Directions to “INTEGRATED PHYSIO PHYSICAL THERAPY AND ACUPUNCTURE P.C ” Practice Location

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