Individual
BO LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 PARK STREET, GLENS FALLS HOSPITAL - HOSPITALIST, GLENS FALLS, NY 12801-4413
(518) 926-5918
(518) 926-5917
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
(518) 926-5925
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
317158
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2019
Last updated
12/02/2022
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