Individual
TOMMY LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-5555
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405079
NY
Other
Enumeration date
06/23/2023
Last updated
01/19/2024
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