| Conrad Li Internal Medicine PC | |
|
13620 Maple Ave # C702 Flushing NY 11355-5166 | |
| (347) 368-4288 | |
| (347) 368-4785 |
| Full Name | Conrad Li Internal Medicine PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13620 Maple Ave # C702, Flushing, New York |
| Authorized Official Name and Position | Conrad Li (CEO) |
| Authorized Official Contact | 3473684288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conrad Li Internal Medicine PC 13620 Maple Ave # C702 Flushing NY 11355-5166 Ph: (347) 368-4288 | Conrad Li Internal Medicine PC 13620 Maple Ave # C702 Flushing NY 11355-5166 Ph: (347) 368-4288 |
| NPI Number | 1205503554 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Medicare PECOS PAC ID | 2860885217 |
|---|---|
| Medicare Enrollment ID | O20220207001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205503554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Xiao L Lin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265786057 PECOS PAC ID: 1355641838 Enrollment ID: I20151207000739 |
| Provider Name | Conrad Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013271741 PECOS PAC ID: 0244539534 Enrollment ID: I20160509002081 |
| Provider Name | Meijuan Lin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710772165 PECOS PAC ID: 6709303142 Enrollment ID: I20250508001340 |
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