Individual
DR. XIAO LI REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 277-4959
(516) 622-4551
Mailing address
PO BOX 95000-6580, PHILADELPHIA, PA 19195-6580
(631) 465-6297
(631) 465-6524
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207200
NY
207RC0000X
Cardiovascular Disease Physician
Primary
207200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02676415
—
NY
Enumeration date
04/21/2006
Last updated
10/17/2014
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