Provider Demographics
NPI:1427354752
Name:BOEY, POW-FOON (MA, PT)
Entity type:Individual
Prefix:
First Name:POW-FOON
Middle Name:
Last Name:BOEY
Suffix:
Gender:F
Credentials:MA, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21302 42ND AVE
Mailing Address - Street 2:#4E
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2824
Mailing Address - Country:US
Mailing Address - Phone:917-771-0526
Mailing Address - Fax:
Practice Address - Street 1:21302 42ND AVE
Practice Address - Street 2:#4E
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2824
Practice Address - Country:US
Practice Address - Phone:917-771-0526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013874225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist