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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