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Organization
JIANJUN LI GI MEDICAL PC
Active
Organization
JIANJUN LI GI MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINNIE CHAN (OFFICE MANAGER)
(718) 567-8808
Entity
Organization
Contact information
Practice address
730 58TH ST, BROOKLYN, NY 11220-3917
(718) 567-8808
(718) 567-8820
Mailing address
730 58TH ST, BROOKLYN, NY 11220-3917
(718) 567-8808
(718) 567-8820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
203883
NY
174400000X
Specialist
244434
NY
174400000X
Specialist
257725
NY
174400000X
Specialist
25MA08744000
NJ
174400000X
Specialist
25MA09606000
NJ
174400000X
Specialist
25MA09610400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02577640
—
NY
Enumeration date
11/21/2007
Last updated
03/31/2015
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