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Individual

GRACE LI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5517 7TH AVE, BROOKLYN, NY 11220-3597
(718) 871-8255
Mailing address
7702 RIDGE BLVD, BROOKLYN, NY 11209-3010
(171) 870-2095

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310751
NY
363LA2200X
Adult Health Nurse Practitioner
XXXXXXXX
NY
363LG0600X
Gerontology Nurse Practitioner
RN290073
GA
363LG0600X
Gerontology Nurse Practitioner
XXXX
NY
363LP2300X
Primary Care Nurse Practitioner
RN290073
GA
363LP2300X
Primary Care Nurse Practitioner
XXXXXX
NY

Other

Enumeration date
04/22/2021
Last updated
11/21/2025
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