Organization
LILI REN, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILI REN M.D. (CHIEF EXECUTIVE OFFICER)
(718) 886-5253
Entity
Organization
Contact information
Practice address
13421 MAPLE AVE, FIRST FLOOR, FLUSHING, NY 11355-4527
(718) 886-5253
(718) 313-0248
Mailing address
13421 MAPLE AVE, FIRST FLOOR, FLUSHING, NY 11355-4527
(718) 886-5253
(718) 313-0248
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
254738
NY
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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