Individual
LEON LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4272 HUNTER ST, LONG ISLAND CITY, NY 11101-4118
(718) 806-1617
Mailing address
5120 74TH ST, ELMHURST, NY 11373-4107
(917) 836-3975
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031271
NY
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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