Individual
LI XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4199 MAIN ST STE 201, FLUSHING, NY 11355-5164
(718) 961-1836
Mailing address
7 HAMILTON PL, GARDEN CITY, NY 11530-5952
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311844
NY
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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