Individual
LI MEI LEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5517 7TH AVE APT 1F, BROOKLYN, NY 11220-3519
(718) 360-0817
(718) 709-1192
Mailing address
50 BAY 38TH ST FL 2, BROOKLYN, NY 11214-4417
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309077
NY
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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