Individual
CHUYU LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
730 60TH ST, BROOKLYN, NY 11220-4220
(718) 484-3225
Mailing address
14205 ROOSEVELT AVE APT 314, FLUSHING, NY 11354-6006
(646) 853-1288
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308379
NY
363LG0600X
Gerontology Nurse Practitioner
308379
NY
Other
Enumeration date
08/17/2017
Last updated
07/08/2021
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