Individual
LUCY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5000
Mailing address
3237 211TH ST, BAYSIDE, NY 11361-1054
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311026
NY
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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