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Individual

DR. CHANG QING LI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
210 CANAL ST RM 503, NEW YORK, NY 10013-4160
(212) 513-1338
(212) 619-2838
Mailing address
7 WITHERSPOON WAY, MARLBORO, NJ 07746-2708
(732) 431-2708
(732) 431-2708

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OA00601700
NJ
152W00000X
Optometrist
Primary
TUV005757
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01824208
NY
Enumeration date
07/24/2006
Last updated
04/30/2018
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