Individual
LIJUN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
39 EAST 20TH STREET, NEW YORK, NY 10003
(212) 473-9155
(212) 777-6522
Mailing address
212 COLLINS AVENUE, WILLISTON PARK, NY 11596
(516) 294-0329
(516) 294-0329
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
226051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02491358
—
NY
Enumeration date
12/14/2005
Last updated
07/08/2007
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