Individual
QIAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 MIDDLEVILLE ROAD, NORTHPORT, NY 11768
(631) 261-4400
Mailing address
79 MIDDLEVILLE ROAD, PSYCHOLOGY DEPARTMENT, BUILDING 6 RM 229, MAIL GROUP 11, NORTHPORT, NY 11768
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
026512
NY
Other
Enumeration date
05/02/2022
Last updated
07/02/2024
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