| Li Medical Of Ny Pc | |
|
7020 Yellowstone Blvd Forest Hills NY 11375-3500 | |
| (718) 275-5551 | |
| Not Available |
| Full Name | Li Medical Of Ny Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7020 Yellowstone Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Simon Lipetz (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7182755551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Li Medical Of Ny Pc 7020 Yellowstone Blvd Forest Hills NY 11375-3500 Ph: (718) 275-5551 | Li Medical Of Ny Pc 7020 Yellowstone Blvd Forest Hills NY 11375-3500 Ph: (718) 275-5551 |
| NPI Number | 1457605669 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 11/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457605669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 186190 (New York) | Primary |
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