| Organization Name: | LONG ISLAND PHYSICAL THERAPY & ACUPUNCTURE, PLLC |
| NPI Number: | 1083979256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KYUNG YOO (OWNER) |
| Mailing Address: | 659 Larkfield Rd Commack |
| State: | NY US |
| Postal Code: | 117251803 |
| Phone Number: | 6312369879 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2012 |
| NPI Last Update Date: | 07/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 021329-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |