Individual
DR. BOHAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1231 DEER PARK AVE, NORTH BABYLON, NY 11703-3104
(631) 376-4163
Mailing address
93 ONEIDA AVE, SOUTH SETAUKET, NY 11720-1129
(646) 215-1282
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
—
213E00000X
Podiatrist
Primary
007465
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
07/02/2025
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