Organization
SANFORD NP IN ADULT HEALTH PC
Active
Organization
SANFORD NP IN ADULT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONG LI NP (CHIEF OFFICER)
(646) 220-3234
Entity
Organization
Contact information
Practice address
14454 SANFORD AVE APT 18, FLUSHING, NY 11355-1620
(646) 220-3234
Mailing address
9148 GOLD RD, OZONE PARK, NY 11417-2417
(646) 220-3234
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
307053-1
NY
Other
Enumeration date
03/29/2018
Last updated
06/16/2018
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