Individual
MR. JEFFREY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 674-4700
Mailing address
18 BAY 40TH ST, BROOKLYN, NY 11214-4419
(917) 515-3330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001155
DE
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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