Individual
DR. JACK WING KIT LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9120 ATLANTIC AVE, OZONE PARK, NY 11416-1527
(718) 641-8207
(718) 848-9452
Mailing address
9120 ATLANTIC AVE, OZONE PARK, NY 11416-1527
(718) 641-8207
(718) 848-9452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
273583-1
NY
Other
Enumeration date
01/29/2014
Last updated
01/16/2021
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