Individual
MS. CARRIE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3248
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3248
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
338923
NY
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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