Individual
JASMINE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7494
(646) 889-3036
Mailing address
24031 65TH AVE, DOUGLASTON, NY 11362-1920
(917) 244-0113
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
P126359
NY
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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