Individual
MS. JIAYU LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15043 18TH AVE FL 1, FLUSHING, NY 11357-3124
(646) 732-3174
Mailing address
15043 18TH AVE FL 1, FLUSHING, NY 11357-3124
(646) 732-3174
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
762525
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689387478
DMV
NY
Enumeration date
04/28/2019
Last updated
04/28/2019
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