Individual
TO SHAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
NORTHERN BLVD, ACADEMIC HEALTH CARE CENTER, NYCOM-NYIT, OLD WESTBURY, NY 11568-8000
(516) 686-3700
Mailing address
P.O. BOX 8000, ACADEMIC HEALTH CARE CENTER, NYCOM-NYIT, NORTHERN BLVD, OLD WESTBURY, NY 11568-8000
(516) 686-3700
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
2182
WV
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
234144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006150
—
WV
Enumeration date
08/24/2006
Last updated
06/21/2011
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