Individual
MITCHELL C LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-6469
Mailing address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-6469
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309034
NY
Other
Enumeration date
05/02/2020
Last updated
05/02/2020
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