Individual
MS. LILI KAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
3131 KINGS HWY STE A6, BROOKLYN, NY 11234-2642
(718) 758-3300
Mailing address
3131 KINGS HWY STE A6, BROOKLYN, NY 11234-2642
(718) 758-3300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OO8839-1
NY
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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