Individual
LIN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
521 W 57TH ST FL 6, NEW YORK, NY 10019-2929
(212) 698-0310
Mailing address
521 W 57TH ST FL 6, NEW YORK, NY 10019-2929
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
045519
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA08331600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-1406459
COMMUNITY HEALTH NETWORK
CT
01
—
061406459
WELLCARE
CT
01
—
1457444655
AETNA
CT
05
—
1457444655
—
CT
01
—
4360469
CIGNA
CT
Enumeration date
10/02/2006
Last updated
05/02/2024
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