Individual
LI XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13679 ROOSEVELT AVE, FLUSHING, NY 11354-5652
(718) 801-8282
Mailing address
372 CENTRAL PARK AVE APT 2J, SCARSDALE, NY 10583-1308
(917) 892-3022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009115
NY
Other
Enumeration date
07/08/2020
Last updated
11/06/2024
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