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Individual
MICHAEL LI
Active
Individual
MICHAEL LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018117
NYS LICENSURE
NY
Enumeration date
10/07/2014
Last updated
04/06/2020
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