Individual
DR. MICHELLE LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 E 51ST ST, OFFICE A, NEW YORK, NY 10022-8014
(212) 688-8887
(212) 688-1243
Mailing address
420 E 51ST ST, OFFICE A, NEW YORK, NY 10022-8014
(212) 688-8887
(212) 688-1243
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
197405
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10774P
HIP
NY
01
—
133887329
TAX IDENITIFICATION
NY
01
—
197405A20
HEALTHFIRST
NY
01
—
2C3376
HEALTHNET
NY
01
—
52772
GHI HMO
NY
01
—
P401354
OXFORD
NY
Enumeration date
08/19/2006
Last updated
07/08/2007
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