Individual
MICHAEL TIANLU LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 WESTERN AVE STE 102, ALBANY, NY 12203-3539
(518) 463-0050
Mailing address
330 BROOKLINE AVE # FD-221A, BOSTON, MA 02215-5491
(617) 667-5048
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
330385
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
07/02/2024
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