Individual
JENNY LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(646) 229-8848
Mailing address
601 1ST ST APT 3, HOBOKEN, NJ 07030-6597
(646) 229-8848
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311405
NY
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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