Individual
KEN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
525 E 71ST ST FL 1, NEW YORK, NY 10021-4828
(212) 224-7946
Mailing address
525 E 71ST ST FL 1, NEW YORK, NY 10021-4828
(212) 224-7946
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432412
NY
Other
Enumeration date
10/28/2022
Last updated
03/09/2025
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