Individual
DR. WENSONG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4235 MAIN ST, STE 3A, FLUSHING, NY 11355-3956
(718) 886-7246
(718) 886-7247
Mailing address
4235 MAIN ST, STE 3A, FLUSHING, NY 11355-3956
(718) 886-7246
(718) 886-7247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
227245-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
227245
NY
208100000X
Physical Medicine & Rehabilitation Physician
013918
NY
208VP0014X
Interventional Pain Medicine Physician
227545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02652624
—
NY
Enumeration date
10/03/2005
Last updated
10/18/2021
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