Organization
139 MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KA LI M.D. (MEDICAL PROVIDER)
(212) 925-4993
Entity
Organization
Contact information
Practice address
139 CENTRE ST, SUITE 618, NEW YORK, NY 10013-4552
(212) 925-4993
(212) 925-4665
Mailing address
139 CENTRE ST, SUITE 618, NEW YORK, NY 10013-4552
(212) 925-4993
(212) 925-4665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
214391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02010557
—
NY
Enumeration date
04/29/2011
Last updated
12/02/2011
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