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Organization

CASTLE OF HEALTH MEDICAL OFFICE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YUAN YI LI M.D. (PRESIDENT)
(718) 358-6768
Entity
Organization

Contact information

Practice address
3916 PRINCE ST STE 351, FLUSHING, NY 11354-5361
(718) 358-6768
(718) 358-6783
Mailing address
45 N CLOVER DR, GREAT NECK, NY 11021-1013
(718) 358-6768
(718) 358-6783

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
232861
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02596647
NY
Enumeration date
06/22/2007
Last updated
01/17/2016
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