| Lili Ren, M.d.,p.c. | |
|
13421 Maple Ave First Floor Flushing NY 11355-4527 | |
| (718) 886-5253 | |
| (718) 313-0248 |
| Full Name | Lili Ren, M.d.,p.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 13421 Maple Ave, Flushing, New York |
| Authorized Official Name and Position | Lili Ren (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7188865253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lili Ren, M.d.,p.c. 13421 Maple Ave First Floor Flushing NY 11355-4527 Ph: (718) 886-5253 | Lili Ren, M.d.,p.c. 13421 Maple Ave First Floor Flushing NY 11355-4527 Ph: (718) 886-5253 |
| NPI Number | 1417244302 |
|---|---|
| Provider Enumeration Date | 06/30/2011 |
| Last Update Date | 06/30/2011 |
| Medicare PECOS PAC ID | 3072784545 |
|---|---|
| Medicare Enrollment ID | O20110914000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417244302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 254738 (New York) | Primary |
| Provider Name | Lili Ren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043543069 PECOS PAC ID: 9234275785 Enrollment ID: I20091014000171 |
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