Individual
DR. JIN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE, STE. 2850, HAWTHORNE, NY 10532-2140
(914) 345-1313
(914) 345-5004
Mailing address
40 SUNSHINE COTTAGE ROAD, NEW YORK MEDICAL COLLEGE, NEUROLOGY DEPARTMENT, VALHALLA, NY 10595
(914) 594-2200
(914) 594-2201
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
223775-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02243603
—
NY
01
—
130025241
RAILROAD MEDICARE
NY
Enumeration date
09/29/2005
Last updated
11/29/2021
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