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Individual

LILI TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13172 40TH RD, FLUSHING, NY 11354-5137
(718) 587-1111
Mailing address
13172 40TH RD, FLUSHING, NY 11354-5137

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
811120
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405919
NY

Other

Enumeration date
04/17/2024
Last updated
09/11/2024
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