Individual
JUANJUAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PNP
Contact information
Practice address
7324 18TH AVE, BROOKLYN, NY 11204-5678
(718) 837-6188
Mailing address
846 55TH ST, BROOKLYN, NY 11220-5167
(718) 871-1926
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383512
NY
Other
Enumeration date
11/25/2022
Last updated
02/22/2023
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