Individual
XIAO JUAN LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2343 BATH AVE APT 3F, BROOKLYN, NY 11214-5346
(917) 214-1581
Mailing address
2343 BATH AVE APT 3F, BROOKLYN, NY 11214-5346
(917) 214-1581
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2633355
NY
Other
Enumeration date
07/12/2022
Last updated
07/28/2022
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