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Individual

CHANEL LI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
60B MOTT ST, NEW YORK, NY 10013-4811
(212) 796-2196
(212) 795-2195
Mailing address
60B MOTT ST, NEW YORK, NY 10013-4811
(212) 796-2196
(212) 796-2195

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
293356
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/09/2015
Last updated
11/09/2021
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