Lakeville Physical Therapy & Acupuncture LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

003113 Issued in NY

Legal business name

LAKEVILLE PHYSICAL THERAPY & ACUPUNCTURE LLC

Practice address

2035 Lakeville Rd
Suite 300
New Hyde Park, NY 11040-1600

Phone

(516) 263-8190

Fax

(516) 492-3299

NPI assigned

Jun 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Wong, ACUPUNCTURE

Title

Manager

Phone

(516) 263-8190

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1659635357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD",
            "address_2": "SUITE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401600",
            "telephone_number": "516-263-8190",
            "fax_number": "516-492-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD",
            "address_2": "SUITE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401600",
            "telephone_number": "516-263-8190",
            "fax_number": "516-492-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVILLE PHYSICAL THERAPY & ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-263-8190",
        "authorized_official_credential": "ACUPUNCTURE"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "003113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakeville Chiropractic, PC
• Lakeville Comprehensive Medical Injury Care P.L.L.C
• Lakeville Dental Group. P.C.
• Viera Lakticova, MD
• Aadhya Lal
• Colvender Lal, LMHC
• Adoram Lalezari
• Meridith Lyn Laliberte

• Exclusive Provider Organization in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.