# MUSCULOSKELETAL MEDICINE P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548312523
- **Authorized official:** YAN MICHAEL LI MD (PHYSICIAN OWNER)
- **Authorized official phone:** (315) 478-9710

## Contact information

- **Practice address:** 475 IRVING AVE, STE 402, SYRACUSE, NY 13210-1756
- **Practice address phone:** (315) 478-9710
- **Practice address fax:** (315) 479-9145
- **Mailing address:** 475 IRVING AVE STE 402, SYRACUSE, NY 13210-2255
- **Mailing address phone:** (315) 478-9710
- **Mailing address fax:** (315) 479-9145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 01/22/2026
