Organization
EVERGREEN VITALITY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANGQING LI MD (HEAD)
(347) 387-3954
Entity
Organization
Contact information
Practice address
152 BRADLEY RD, SCARSDALE, NY 10583-6236
(347) 387-3954
Mailing address
152 BRADLEY RD, SCARSDALE, NY 10583-6236
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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