Individual
CONG JIE LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021-4802
(516) 829-0030
Mailing address
475 NORTHERN BLVD STE 27, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
048966
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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