Individual
CONGCONG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
837 59TH ST, BROOKLYN, NY 11220-5576
(718) 975-8415
Mailing address
837 59TH ST, BROOKLYN, NY 11220-5576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
773278
NY
363LF0000X
Family Nurse Practitioner
Primary
F351007
NY
Other
Enumeration date
11/24/2020
Last updated
01/27/2023
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