Individual
MANDY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
68 ELMTREE LN, JERICHO, NY 11753-2645
(516) 851-9025
Mailing address
68 ELMTREE LN, JERICHO, NY 11753-2645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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